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
-
2021-02-18
Dose 1 — Moderna
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2021-03-06
Registered in v-safe
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2021-03-06
Survey response — day 14, dose 1MedDRA: Rash, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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
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2021-03-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
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2021-03-18
Dose 2 — Moderna
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2021-03-18
Survey response — day 0, dose 2MedDRA: Fatigue, Urticaria — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree 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 nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-26
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2021-04-03
Survey response — day 14, dose 2MedDRA: Urticaria — Feeling: GoodFree text: Isolated hive 1on arm 1 on inner thigh developed 12days after v 2 nd vaxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 21, dose 2MedDRA: Feeling hot, Pruritus, Sensitive skin, Urticaria — Feeling: GoodFree 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 itchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 28, dose 2MedDRA: Pruritus, Sensitive skin, Urticaria, Vaccine positive rechallenge — Feeling: GoodFree 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 shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-06-17
- 2021-08-26
- 2021-09-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 14, dose 1
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
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
Symptoms: Isolated hive 1on arm 1 on inner thigh developed 12days after v 2 nd vax
Release 7 — day 21, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release