49G-39490-12867
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 420 / KY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
- 2021-03-03
-
2021-03-09
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Rash — Feeling: GoodFree text: On day 8 post vaccination I got a progressively spreading rash that eventually spread to my left elbow and 3/4 of the way around my arm. It was itchy ,red , and swollen at the vaccination site. It is finally starting to fade over yesterday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Vaccination site rash — Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteFree text: I received my second vaccination in my right arm but surprisingly the delayed reaction rash I had from the first vaccination reappeared on my left arm going from the old injection site and extended to my left wrist. The rash from my left elbow to the wrist is new. The rash is not itchy and I more diffuse than when it occurred 8 days after my first vaccination. So far I have no rash on my right arm at the site of my second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Free text
Release 5 — day 14, dose 1
Symptoms: On day 8 post vaccination I got a progressively spreading rash that eventually spread to my left elbow and 3/4 of the way around my arm. It was itchy ,red , and swollen at the vaccination site. It is finally starting to fade over yesterday and today. cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I received my second vaccination in my right arm but surprisingly the delayed reaction rash I had from the first vaccination reappeared on my left arm going from the old injection site and extended to my left wrist. The rash from my left elbow to the wrist is new. The rash is not itchy and I more diffuse than when it occurred 8 days after my first vaccination. So far I have no rash on my right arm at the site of my second dose.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Vaccination site rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release