5AU-81078-56964
1 vaccination
6 coded responses
16 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 232 / VA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore arm at site of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
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2021-03-26
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Extreme itching up arms and legs. No eruption of hives on or under skin or around injection site. Dr said it was delayed reaction and put me on prednisone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-02
Survey response — day 21, dose 1MedDRA: Erythema, Medical counselling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itching has spread to feet which turn blood red when Itching starts. Legs and knees continue to itch. · Healthcare visit (other): Telephone call with dr. Gave me prednisone and have taken all of prescription but itching persists and just started on top of feet and back of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-09
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2021-04-16
Survey response — day 35, dose 1MedDRA: Medical counselling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still continue to have itching from initial shot. Dr. recommended not to get 2nd Moderna shot and wait several months and get J&J shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — day 42, dose 1MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dermatologist said I have hives from 1st Moderna shot · Healthcare visit (other): Visit to doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-06-11
- 2021-06-11
- 2021-06-11
- 2021-06-11
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2021-09-10
Survey response — 6 months, dose 1MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still breaking out in hives from 1st shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at site of injection
Release 6 — day 14, dose 1
Symptoms: Extreme itching up arms and legs. No eruption of hives on or under skin or around injection site. Dr said it was delayed reaction and put me on prednisone.
Release 6 — day 21, dose 1
Symptoms: Itching has spread to feet which turn blood red when Itching starts. Legs and knees continue to itch.
Healthcare visit (other): Telephone call with dr. Gave me prednisone and have taken all of prescription but itching persists and just started on top of feet and back of neck
Release 7 — day 35, dose 1
Symptoms: Still continue to have itching from initial shot. Dr. recommended not to get 2nd Moderna shot and wait several months and get J&J shot
Release 7 — day 42, dose 1
Symptoms: Dermatologist said I have hives from 1st Moderna shot
Healthcare visit (other): Visit to doctor
Release 9 — 6 months, dose 1
Symptoms: Still breaking out in hives from 1st shot.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pruritus | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release