3XX-97793-69044
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 020 / MA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-01
Dose 1 — Moderna
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2021-02-10
Registered in v-safe
-
2021-02-10
Survey response — day 7, dose 1MedDRA: Feeling hot, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Pruritus — Feeling: Good · Site: Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I would like to report a significant red, warm to touch, slightly itchy red area adjacent to the injection site. This developed 8 days after receiving the vaccine. Until the evening of 2/8, I had no symptoms at all except for the expected very mild soreness at the injection site lasting 24 hours on day one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
- 2021-02-22
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2021-03-01
Dose 2 — Moderna
- 2021-03-01
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Vaccine positive rechallenge — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: With regard to the redness, it is a significantly large area below the injection site. It does not onvolve the injection site and measures approximately 4.5 inches by 3 inches. I had a very similar red area after the first dose but it appeared 8 days after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-07
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2021-03-08
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on arm from day one is fading.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-07-19
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2021-08-17
Call successfulDoes not wish to fill out VAERS report
- 2021-08-31
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I would like to report a significant red, warm to touch, slightly itchy red area adjacent to the injection site. This developed 8 days after receiving the vaccine. Until the evening of 2/8, I had no symptoms at all except for the expected very mild soreness at the injection site lasting 24 hours on day one.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): With regard to the redness, it is a significantly large area below the injection site. It does not onvolve the injection site and measures approximately 4.5 inches by 3 inches. I had a very similar red area after the first dose but it appeared 8 days after injection.
Release 5 — day 7, dose 2
Systemic reaction (other): Rash on arm from day one is fading.
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 | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ○ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ○ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release