4N2-30238-34796
4 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 241 / VA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
- 2021-02-25
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: The rash and itching around the injection site expanded and is still itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Feeling hot, Rash, Swelling — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: The rash starts about 3" below injection site and is about 4" in circumference. It is quite hot and swollen and very red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Rash — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: I have a large circle of rash just below the injection site. Last night for about 5 hours, the rash covered my entire chest, face and upper arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Rash erythematous, Rash pruritic, Skin warm — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Large area of red rash - swollen, itchy and hot - below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2021-11-19
Dose 3 — Moderna
- 2022-03-15
-
2022-08-08
Dose 4 — Moderna
- 2022-08-08
-
2022-08-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-08-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-08-11
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-08-12
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-08-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-08-14
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-11-07
- 2023-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-08-08 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: The rash and itching around the injection site expanded and is still itching.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The rash starts about 3" below injection site and is about 4" in circumference. It is quite hot and swollen and very red.
Systemic reaction (other): I have a large circle of rash just below the injection site. Last night for about 5 hours, the rash covered my entire chest, face and upper arms.
Systemic reaction (other): Large area of red rash - swollen, itchy and hot - below injection site
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 pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release