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3S8-25252-95453

3 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
339 / FL
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-04
    Dose 2 — Moderna
  3. 2021-02-06
    Registered in v-safe
  4. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Itchy prickly skin, most intense around right side shoulder, underarm and neck. Have been taking Benadryl every 4 hours since 2pm, yesterday afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia, Self-medication, Sensitive skin, Urticaria — Feeling: Good
    Free text: No rash welts are left just a prickly sensitive skin, in the area around neck shoulders and upper arm. Discontinued Benadryl today hopefully, last dose was at 4 AM.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia, Photosensitivity reaction, Pruritus, Sensitive skin — Feeling: Good · Fatigue or tiredness
    Free text: Itching and prickly skin sensation has been replaced with a sensitivity like when sunburned, but without the heat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  8. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-06
    Dose 3 — Moderna
  17. 2022-02-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-07-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2023-01-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32022-01-06Moderna No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Itchy prickly skin, most intense around right side shoulder, underarm and neck. Have been taking Benadryl every 4 hours since 2pm, yesterday afternoon.

2021-02-08

Systemic reaction (other): No rash welts are left just a prickly sensitive skin, in the area around neck shoulders and upper arm. Discontinued Benadryl today hopefully, last dose was at 4 AM.

2021-02-09

Systemic reaction (other): Itching and prickly skin sensation has been replaced with a sensitivity like when sunburned, but without the heat.

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
SROParaesthesia ✓ ✓ ✓
SROPhotosensitivity reaction ✓ ✓ ○
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSensitive skin ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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