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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

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills
    Free text: Rash looks like it is spreading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Survey response — day 14, dose 1
    MedDRA: Emergency care, Pruritus, Rash — Feeling: Fair
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Survey response — day 21, dose 1
    MedDRA: Cellulitis, Emergency care, Localised infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free 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 me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-22
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-11-02

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Rash looks like it is spreading

Release 5 — day 14, dose 1

2021-03-15

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

2021-03-22

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

FieldPreferred term2021-092023-042024-11
SDCellulitis ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDLocalised infection ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SRORash ✓ ✓ ✓

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