487-96795-50379
1 vaccination
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 305 / GA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
-
2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Pre-existing disease, Rash — Feeling: Good · HeadacheFree text: The day of shot developed facial rash and brief warm feeling on face. Torso also briefly affected. Get reactions like that frequently from shampoo, shaving cream, etc so not sure if directly from shot. Used hand sanitizer on way out and that may have caused it. Developed half hour after vaccine but again something in hand sanitizer could have triggered it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-23
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2021-04-30
Survey response — day 14, dose 1MedDRA: Rash — Feeling: FairFree text: A bit of a rash on my back. Nothing serious but getting checked on Monday to be sure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The day of shot developed facial rash and brief warm feeling on face. Torso also briefly affected. Get reactions like that frequently from shampoo, shaving cream, etc so not sure if directly from shot. Used hand sanitizer on way out and that may have caused it. Developed half hour after vaccine but again something in hand sanitizer could have triggered it.
Release 8 — day 14, dose 1
Symptoms: A bit of a rash on my back. Nothing serious but getting checked on Monday to be sure.
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 |
|---|---|---|---|---|
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release