54X-17308-43350
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 310 / GA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-23
- 2021-01-25
- 2021-01-26
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 1MedDRA: Rash, Skin lesion, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have lesions/rash on my back which, at first, were similar in appearance and affect as far as how it felt, to shingles. It is not shingles and I have good reason to believe it is a result of my 1st mederna vaccine. Take #2 or wait? · Healthcare visit (other): Dermatologist and general practionerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
-
2021-02-24
Survey response — day 35, dose 1MedDRA: Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Old itching sports have cleared somewhat but few ones, not as bad, have appeared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-04-21
Survey response — 3 months, dose 1MedDRA: Joint swelling, Peripheral swelling — Feeling: GoodFree text: Swollen ankles snd legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-18
-
2021-07-21
Survey response — 6 months, dose 1MedDRA: Oedema peripheral, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rash reappeared after a very hot bath - 2 months after I received the Mederna shotEdema in my ankles and legsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
Symptoms: I have lesions/rash on my back which, at first, were similar in appearance and affect as far as how it felt, to shingles. It is not shingles and I have good reason to believe it is a result of my 1st mederna vaccine. Take #2 or wait?
Healthcare visit (other): Dermatologist and general practioner
Release 4 — day 35, dose 1
Symptoms: Old itching sports have cleared somewhat but few ones, not as bad, have appeared.
Release 7 — 3 months, dose 1
Symptoms: Swollen ankles snd legs
Release 9 — 6 months, dose 1
Symptoms: Rash reappeared after a very hot bath - 2 months after I received the Mederna shotEdema in my ankles and legs
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin lesion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release