3LS-23143-30209
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 195 / PA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
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2021-02-08
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: Rash and itching around shot area looks like a bee sting. Dot in middle, white area then redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — day 21, dose 1MedDRA: Rash erythematous, Rash pruritic — Feeling: GoodFree text: My rash that came on Tuesday lasted one day. It came back Saturday night and was red and itchy the size of a baseball. It faded and stopped itching on Wednesday. It is still a light off color red but no itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: 3 round red swelling 1 below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Still round swollen below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Rash pruritic — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Still have itchy rash below siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-05
- 2021-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Rash and itching around shot area looks like a bee sting. Dot in middle, white area then red
Release 4 — day 21, dose 1
Symptoms: My rash that came on Tuesday lasted one day. It came back Saturday night and was red and itchy the size of a baseball. It faded and stopped itching on Wednesday. It is still a light off color red but no itching
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 3 round red swelling 1 below injection site
Systemic reaction (other): Still round swollen below injection site
Systemic reaction (other): Still have itchy rash below site
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 rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release