49H-13592-89402
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 113 / NY
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
-
2021-03-13
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · ChillsFree text: Rash looks like it is spreadingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 14, dose 1MedDRA: Emergency care, Pruritus, Rash — Feeling: FairFree text: The rash has spread to my whole upper arm and around the back side. It has also extended down towards my elbow. I went to the ER on March 13 due to my concerns. I'm on benadryl and Pepsid. Still itchy over parts of body. Should I get the second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 21, dose 1MedDRA: Cellulitis, Emergency care, Localised infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: My left arm got infected which lead to cellulitis. I had to go to the ER twice. I'm no ten days of antibiotics. I'm scheduled for second shot 2 days after I finish antibiotics. Do I get the shot or not. Please call meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Rash looks like it is spreading
Release 5 — day 14, dose 1
Symptoms: The rash has spread to my whole upper arm and around the back side. It has also extended down towards my elbow. I went to the ER on March 13 due to my concerns. I'm on benadryl and Pepsid. Still itchy over parts of body. Should I get the second shot cut off by CDC
Release 6 — day 21, dose 1
Symptoms: My left arm got infected which lead to cellulitis. I had to go to the ER twice. I'm no ten days of antibiotics. I'm scheduled for second shot 2 days after I finish antibiotics. Do I get the shot or not. Please call me
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 | Cellulitis | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Localised infection | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release