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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

  1. 2021-01-23
    Dose 1 — Moderna
  2. 2021-02-08
    Registered in v-safe
  3. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: Good
    Free text: Rash and itching around shot area looks like a bee sting. Dot in middle, white area then red
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Survey response — day 21, dose 1
    MedDRA: Rash erythematous, Rash pruritic — Feeling: Good
    Free 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 itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Dose 2 — Moderna
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: 3 round red swelling 1 below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Still round swollen below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash pruritic — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: Still have itchy rash below site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-19Moderna

Free text

Release 3 — day 14, dose 1

2021-02-08

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

2021-02-13

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

2021-02-22

Systemic reaction (other): 3 round red swelling 1 below injection site

2021-02-23

Systemic reaction (other): Still round swollen below injection site

2021-02-24

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

FieldPreferred term2021-092023-042024-11
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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