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3M2-16760-33924

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
021 / MA
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-18
    Dose 1 — Moderna
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Survey response — day 14, dose 1
    MedDRA: Rash, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rash Which started on my hips spread to my knees and wrist lasted three days treated with Benadryl and Zyrtec Both of which worked rash has now disappeared after four days rash began on the ninth or 10th day after Vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-11
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-18
    Dose 2 — Moderna
  7. 2021-03-18
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Urticaria — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Hives from 1st vac are very small and isolated to upper arm (not injection side) linger · Healthcare visit (other): All the above occurred with first dose I just got the 2nd this afternoon I am feeling slight fatigue now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-18
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  12. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Survey response — day 14, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: Isolated hive 1on arm 1 on inner thigh developed 12days after v 2 nd vax
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Feeling hot, Pruritus, Sensitive skin, Urticaria — Feeling: Good
    Free text: A second very small area of hive development now on my right inner thigh the first one was on my left inner thigh and it's literally about the size of one hot! Itchy and sensitive to hot water but no problem beyond that I've chosen to let It itch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-17
    Survey response — day 28, dose 2
    MedDRA: Pruritus, Sensitive skin, Urticaria, Vaccine positive rechallenge — Feeling: Good
    Free text: 2 more v small hives on inner thigh itchy And sensitive to hot water but still much milder than the initial occurrence after the first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-26
  22. 2021-09-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-18Moderna
22021-03-18Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-06

Symptoms: Rash Which started on my hips spread to my knees and wrist lasted three days treated with Benadryl and Zyrtec Both of which worked rash has now disappeared after four days rash began on the ninth or 10th day after Vaccine.

Release 5 — day 0, dose 2

2021-03-18

Systemic reaction (other): Hives from 1st vac are very small and isolated to upper arm (not injection side) linger
Healthcare visit (other): All the above occurred with first dose I just got the 2nd this afternoon I am feeling slight fatigue now

Release 6 — day 14, dose 2

2021-04-03

Symptoms: Isolated hive 1on arm 1 on inner thigh developed 12days after v 2 nd vax

Release 7 — day 21, dose 2

2021-04-08

Symptoms: A second very small area of hive development now on my right inner thigh the first one was on my left inner thigh and it's literally about the size of one hot! Itchy and sensitive to hot water but no problem beyond that I've chosen to let It itch

Release 7 — day 28, dose 2

2021-04-17

Symptoms: 2 more v small hives on inner thigh itchy And sensitive to hot water but still much milder than the initial occurrence after the first shot

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
HCVOFatigue ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSensitive skin ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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