2RP-66708-51797
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Q8H-30949-21452
Other · Male · 2021-10-25
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: Good · Site: PainFree text: No just sore at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling, Rash erythematous, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Red rash, itching, swelling at injection site about 6-days later. Took Zyrtec and cold compress to get rid of it is starting to go away now I think.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Insomnia, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: With the first shot I got a rash swelling warm to touch six days after. The second shot Ive been up with all the symptoms indicated above all night and most of the day today. My husband received the second shot yesterday to with no symptoms but hes not getting the V safe surveys could you please send them to him at (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: A lot better today then yesterday!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-25
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-06-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-24
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): No just sore at injection site
Release 3 — day 14, dose 1
Symptoms: Red rash, itching, swelling at injection site about 6-days later. Took Zyrtec and cold compress to get rid of it is starting to go away now I think.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): With the first shot I got a rash swelling warm to touch six days after. The second shot Ive been up with all the symptoms indicated above all night and most of the day today. My husband received the second shot yesterday to with no symptoms but hes not getting the V safe surveys could you please send them to him at (b)(6)
redacted (b)(6)
Systemic reaction (other): A lot better today then yesterday!
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ○ | ✓ | ○ |
| SD | Injection site reaction | ✓ | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Rash | ○ | ○ | ○ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Skin warm | ○ | ○ | ○ |
| SRO | Swelling | ○ | ○ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release