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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

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free 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
  4. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Injection site reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  5. 2021-01-20
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-03
    Dose 2 — Moderna
  8. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-25
  11. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-20
    Dose 3 — Moderna
  13. 2022-04-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-10-20
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-03Moderna
32021-10-20Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-13

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

2021-01-20

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

FieldPreferred term2021-092023-042024-11
SDInjection site reaction ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release