55T-12159-46558
4 vaccinations
10 coded responses
39 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 173 / PA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-04-20
Dose 2 — Moderna
-
2021-04-25
Registered in v-safe
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2021-12-01
Dose 3 — Moderna
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Rash covers bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: My rash was all over my body. You have to improve this vaccine so there are fewer side effects! I do not get side effects fro flu vaccine, tetanus etcMedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal, Inflammation, Medical counselling, Pyrexia, Rash, Rash pruritic, Self-medication — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have not had a fever in 20 years! The 2nd dose and the booster both gave me a fever and I felt miserable please improve this vaccine. I also have had an itchy rash. · Healthcare visit (other): My husband is an ER nurse and he has me taking ibuprofen and Benadryl or famodtidine to deal with rash and inflammationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-07
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
- 2022-06-01
-
2022-09-30
Dose 4 — Moderna
-
2022-09-30
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
-
2022-10-01
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body achesFree text: Started taking advil right away so kept my fever down and pain down. Lymph node by injection swollen and tenderMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Survey response — days 1–6 daily, dose 4MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Have hives all over my torsoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Survey response — days 1–6 daily, dose 4MedDRA: Frustration tolerance decreased, Pyrexia, Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: This bivariant vaccine has given me ongoing hives and low grade fever. Very frustratingMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus, Urticaria — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Hives going away. Very itchyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Survey response — days 1–6 daily, dose 4MedDRA: Blister, Pruritus, Urticaria — Feeling: Good · Site: ItchingFree text: Hives are now small little blisters that are itchyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
-
2022-10-07
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: GoodFree text: Please improve this vaccine. Side effects are really rough!! Does anyone read these notes?MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-09-30 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Hives
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Rash covers body
Systemic reaction (other): My rash was all over my body. You have to improve this vaccine so there are fewer side effects! I do not get side effects fro flu vaccine, tetanus etc
Systemic reaction (other): I have not had a fever in 20 years! The 2nd dose and the booster both gave me a fever and I felt miserable please improve this vaccine. I also have had an itchy rash.
Healthcare visit (other): My husband is an ER nurse and he has me taking ibuprofen and Benadryl or famodtidine to deal with rash and inflammation
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Started taking advil right away so kept my fever down and pain down. Lymph node by injection swollen and tender
Systemic reaction (other): Have hives all over my torso
Systemic reaction (other): This bivariant vaccine has given me ongoing hives and low grade fever. Very frustrating
Systemic reaction (other): Hives going away. Very itchy
Systemic reaction (other): Hives are now small little blisters that are itchy
Release 12 — day 7, dose 4
Systemic reaction (other): Please improve this vaccine. Side effects are really rough!! Does anyone read these notes?
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 | Inflammation | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Rash | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Blister | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Frustration tolerance decreased | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release