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
-
2021-02-01
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
-
2021-02-08
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, NauseaFree text: rash just appeared today 1 week after vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Injection site urticaria, Injection site warmth — Feeling: GoodFree 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/itcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-03
Survey response — day 28, dose 1MedDRA: Flushing, Immunisation reaction, Rash erythematous, Rash papular, Urticaria — Feeling: GoodFree 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 weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): rash just appeared today 1 week after vaccinated
Release 4 — day 14, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release