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
-
2021-01-07
Dose 1 — Moderna
-
2021-02-04
Dose 2 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteFree 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
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Self-medication, Sensitive skin, Urticaria — Feeling: GoodFree 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
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Photosensitivity reaction, Pruritus, Sensitive skin — Feeling: Good · Fatigue or tirednessFree 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
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2022-01-06
Dose 3 — Moderna
- 2022-02-04
- 2022-07-07
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2022-01-06 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
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.
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.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ○ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release