32Q-20014-83250
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 501 / IA
- Registered
- 2021-01-22
- Relationship
- Self
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site urticaria, Pruritus, Rash, Self-medication, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rash and urticaria on arm of injection site. Spread to abdominal girth and periodic rash:itching over trunk and extremities. Started 1 week after vaccine and lasted 4 days even while taking Benadryl every 4 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 21, dose 1MedDRA: Erythema, Injection site erythema, Injection site urticaria, Injection site warmth, Rash, Self-medication, Skin warm, Urticaria — Feeling: Good · Be unable to workFree text: I am making sure you are aware that I had 4 day course of urticaria started by injection site - raised red warm welted area and in a few hrs spread to abd. Girth and then sporadic over extremities- Benadryl every 4 hrs. Started 8 days after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Rash and urticaria on arm of injection site. Spread to abdominal girth and periodic rash:itching over trunk and extremities. Started 1 week after vaccine and lasted 4 days even while taking Benadryl every 4 hours
Release 2 — day 21, dose 1
Symptoms: I am making sure you are aware that I had 4 day course of urticaria started by injection site - raised red warm welted area and in a few hrs spread to abd. Girth and then sporadic over extremities- Benadryl every 4 hrs. Started 8 days after vaccine cut off by CDC
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 | Erythema | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site urticaria | ○ | ✓ | ✓ |
| SD | Injection site warmth | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release