2ZL-68422-30848
3 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 721 / AR
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
-
2021-01-13
Survey response — day 7, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: When I received my shot, I had a pretty significant localized reaction with pain, swelling, redness and actual bruising where I received the shot. However that subsided within a few days. My arm was almost totally back to normal, and the itching began (two days ago) and this morning the redness and swelling has returned with continued (and worsening) itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — day 14, dose 1MedDRA: Injection site reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued severe histamine response at injection site and moving down arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-28
-
2021-02-03
Dose 2 — Moderna
- 2021-02-11
- 2021-02-17
- 2021-03-25
- 2021-08-04
-
2021-10-20
Dose 3 — Moderna
- 2022-04-26
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): When I received my shot, I had a pretty significant localized reaction with pain, swelling, redness and actual bruising where I received the shot. However that subsided within a few days. My arm was almost totally back to normal, and the itching began (two days ago) and this morning the redness and swelling has returned with continued (and worsening) itching.
Release 2 — day 14, dose 1
Symptoms: Continued severe histamine response at injection site and moving down arm.
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 reaction | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release