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33N-28389-25805

1 vaccination 3 coded responses 6 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
618 / IL
Registered
2021-02-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-08
    Registered in v-safe
  3. 2021-02-08
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea
    Free text: rash just appeared today 1 week after vaccinated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site urticaria, Injection site warmth — Feeling: Good
    Free text: Hives and rash on arm injection site appeared 1 week after vaccine. Rash hot, itched, red, somewhat swollen & sore. It expanded to 6, then gradually faded several days later, but it remains visible today 1 wk later. I took Benadryl for the hives/itc
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-03
    Survey response — day 28, dose 1
    MedDRA: Flushing, Immunisation reaction, Rash erythematous, Rash papular, Urticaria — Feeling: Good
    Free text: Flushing appeared on arms , face and chest several times since covid arm hives and subsequent raised circular 6 red rash finally faded after being present for a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-18
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-03
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna

Free text

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): rash just appeared today 1 week after vaccinated

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Hives and rash on arm injection site appeared 1 week after vaccine. Rash hot, itched, red, somewhat swollen & sore. It expanded to 6, then gradually faded several days later, but it remains visible today 1 wk later. I took Benadryl for the hives/itc cut off by CDC

Release 5 — day 28, dose 1

2021-03-03

Symptoms: Flushing appeared on arms , face and chest several times since covid arm hives and subsequent raised circular 6 red rash finally faded after being present for a week

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
SDFlushing ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site urticaria ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRORash ✓ ✓ ✓

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