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3QJ-66375-92614

2 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
303 / GA
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Rash, Rash pruritic — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: I initially had a rash on my left arm after my injection. It was slightly itchy. That went away. On FridayJan 29, these itchy bumps, like mosquito bites, showed up. When I scratched them, because they were very itchy, a large pink spot appeared on my arm. Initially it was very itchy, and I applied Triamcinolone Acetonide Ointment USP, 0.1%. When the itching improved, I discontinued the ointment. Now it is just a large pink spot with a darker pink center. It seems to be improving slowly. It covers most of my upper left arm which is the same arm where I received my injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-19
    Dose 2 — Moderna
  7. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  10. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  11. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  12. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  13. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  14. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  15. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): I initially had a rash on my left arm after my injection. It was slightly itchy. That went away. On FridayJan 29, these itchy bumps, like mosquito bites, showed up. When I scratched them, because they were very itchy, a large pink spot appeared on my arm. Initially it was very itchy, and I applied Triamcinolone Acetonide Ointment USP, 0.1%. When the itching improved, I discontinued the ointment. Now it is just a large pink spot with a darker pink center. It seems to be improving slowly. It covers most of my upper left arm which is the same arm where I received my injection.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Earache

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
SROEar pain ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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