575-11856-67516
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 299 / SC
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-05
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling, Rash papular, Rash pruritic — Feeling: GoodFree text: On day 8 after injection I developed a raised itchy rash @ site of shot about 2 inches diameter. Grew to size of softball in following days. Itching began to subside on day 12 & center of hive lightened leaving ring. Today is #16 & almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Influenza like illness, Myalgia, Self-medication — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Muscle aches bad- like flu. Took 400 mg ibuprofen without reduction in aches after 1 hour. Took an additional 400 mg ibuprofen and symptoms abated. Aches came back after 7 1/2 hours. Will repeat at bedtime.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, ItchingFree text: I only categorized the redness as severe because it covers an area larger than a softball. It is definitely red and margins are easily seen but it is not bright cherry red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Hypersensitivity, Pruritus, Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Redness, rash & itching extend from top of shoulder to 2 inches above elbow. Reddest, itchiest part of rash is on lower part of upper arm - not around immediate injection site. Definitely an allergic reaction. Had it with first shot - worse this time. Nothing I cant handle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-25
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: Arthralgia, Myalgia, Pain in extremity — Feeling: GoodFree text: The arm I was vaccinated in is sore. It's a combination of shoulder/muscle painMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Free text
Release 5 — day 14, dose 1
Symptoms: On day 8 after injection I developed a raised itchy rash @ site of shot about 2 inches diameter. Grew to size of softball in following days. Itching began to subside on day 12 & center of hive lightened leaving ring. Today is #16 & almost gone.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle aches bad- like flu. Took 400 mg ibuprofen without reduction in aches after 1 hour. Took an additional 400 mg ibuprofen and symptoms abated. Aches came back after 7 1/2 hours. Will repeat at bedtime.
Systemic reaction (other): I only categorized the redness as severe because it covers an area larger than a softball. It is definitely red and margins are easily seen but it is not bright cherry red.
Systemic reaction (other): Redness, rash & itching extend from top of shoulder to 2 inches above elbow. Reddest, itchiest part of rash is on lower part of upper arm - not around immediate injection site. Definitely an allergic reaction. Had it with first shot - worse this time. Nothing I cant handle.
Release 11 — 12 months, dose 2
Symptoms: The arm I was vaccinated in is sore. It's a combination of shoulder/muscle pain
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 | Arthralgia | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ○ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash papular | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release