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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

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-04-19
    Registered in v-safe
  3. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot, Pre-existing disease, Rash — Feeling: Good · Headache
    Free 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
  4. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-30
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Fair
    Free 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
  9. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

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

2021-04-30

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

FieldPreferred term2021-092023-042024-11
SDRash ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓

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