4PU-20530-09356
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 927 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Site: Pain, Redness, ItchingFree text: Torso rash in 1-24, lasting a few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: GoodFree text: On Jan. 29, my arm at injection site was very itchy. The next day, it got a rash all around the site and slightly hot to the touch. The next day redder, about 2 around. Then Feb. 1, it got a bit lighter, and since then , each day lighter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-19
Dose 2 — Moderna
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Headache, Pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: Fever of 100 the day after shot, with chills and body aches all weekend. Had headache that was severe all weekend, and still is mildly there. If it was dyring the week, I would not have been able to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash pruritic — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The rash is almost gone, but last night and today, back and chest itching like crazy. Never had this before. Using a lot of cortisone cream.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-27
- 2021-03-06
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-06
- 2021-05-27
- 2021-08-21
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Torso rash in 1-24, lasting a few days
Release 3 — day 14, dose 1
Symptoms: On Jan. 29, my arm at injection site was very itchy. The next day, it got a rash all around the site and slightly hot to the touch. The next day redder, about 2 around. Then Feb. 1, it got a bit lighter, and since then , each day lighter.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever of 100 the day after shot, with chills and body aches all weekend. Had headache that was severe all weekend, and still is mildly there. If it was dyring the week, I would not have been able to work.
Systemic reaction (other): The rash is almost gone, but last night and today, back and chest itching like crazy. Never had this before. Using a lot of cortisone cream.
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 rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release