353-12490-10329
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 537 / WI
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
- 2021-02-23
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2021-03-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Not really worsening, but not much change, either. Swelling around the site has lessened, but redness and some itching persists. In addition, the redness and itching has spread a bit to inner arm, but s swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Beginning at about eight days after the vaccination I experienced swelling, itching and redness at the vaccination site. Those symptoms continued for about two weeks, but have since subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
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2021-03-17
Dose 2 — Moderna
- 2021-03-24
- 2021-04-02
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2021-04-08
Survey response — day 21, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash on hand (same side as vaccination) for about 8 days. Probably unrelated to vaccination (likely the result of a cat scratch), but it is new, and if anyone else is reporting something similar...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-16
- 2021-09-19
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2022-02-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Not really worsening, but not much change, either. Swelling around the site has lessened, but redness and some itching persists. In addition, the redness and itching has spread a bit to inner arm, but s swelling.
Release 5 — day 21, dose 1
Symptoms: Beginning at about eight days after the vaccination I experienced swelling, itching and redness at the vaccination site. Those symptoms continued for about two weeks, but have since subsided.
Release 7 — day 21, dose 2
Symptoms: Rash on hand (same side as vaccination) for about 8 days. Probably unrelated to vaccination (likely the result of a cat scratch), but it is new, and if anyone else is reporting something similar...
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 erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release