2WP-13942-42880
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 335 / FL
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Immediate post-injection reaction, Pruritus — Feeling: Good · Site: Pain · HeadacheFree text: yesterday 40 min after the injection I have moderate itching scalp, cheeks, eyes ears I had to take benadryl after 3 hours it was still causing itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Pruritus, Skin papilloma — Feeling: GoodFree text: itching scalp, neck, warts upper arms for 1 hour. The same sx I had 40 min after the injection day one. It was not as intense and only lasted 1 hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: itching again this am scalp,neck only lasting 10-15 min less intensity than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: scalp itchy, upper arms. IntermittentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Intermittent upper arm itching and scalpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
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2021-01-25
Dose 2 — Moderna
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
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2021-07-26
Survey response — 6 months, dose 2MedDRA: Ear pain, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: sore throat congested ear acheMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): yesterday 40 min after the injection I have moderate itching scalp, cheeks, eyes ears I had to take benadryl after 3 hours it was still causing itching
Systemic reaction (other): itching scalp, neck, warts upper arms for 1 hour. The same sx I had 40 min after the injection day one. It was not as intense and only lasted 1 hour.
Systemic reaction (other): itching again this am scalp,neck only lasting 10-15 min less intensity than yesterday
Systemic reaction (other): scalp itchy, upper arms. Intermittent
Release 1 — day 7, dose 1
Systemic reaction (other): Intermittent upper arm itching and scalp
Release 9 — 6 months, dose 2
Symptoms: sore throat congested ear ache
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 | Ear pain | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin papilloma | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release