4HC-31920-99989
4 vaccinations
10 coded responses
35 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pruritus, Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Rash = Itching and red patches on left footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash continues on left foot and a little on right footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on both feet is diminishing with ketokconazole (which may be coincidence.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on both feet diminishingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on both feet diminishing furtherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on both feet continues to diminish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash nearly gone from both feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Minor headache. Disappears with Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pyrexia — Feeling: Good · Site: Redness · Fever · HeadacheFree text: Mild fever, mild headache disappeared with TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: Injection area redness is less and less every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
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2021-11-08
Dose 3 — Moderna
- 2021-11-24
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-22
- 2022-02-07
- 2022-05-09
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2022-09-16
Dose 4 — Moderna
- 2022-11-08
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Rash = Itching and red patches on left foot
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Rash continues on left foot and a little on right foot
Systemic reaction (other): Rash on both feet is diminishing with ketokconazole (which may be coincidence.)
Systemic reaction (other): Rash on both feet diminishing
Systemic reaction (other): Rash on both feet diminishing further
Systemic reaction (other): Rash on both feet continues to diminish.
Release 3 — day 7, dose 1
Systemic reaction (other): Rash nearly gone from both feet
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Minor headache. Disappears with Tylenol.
Systemic reaction (other): Mild fever, mild headache disappeared with Tylenol
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Injection area redness is less and less every day
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 |
|---|---|---|---|---|
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release