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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

  1. 2021-03-12
    Registered in v-safe
  2. 2021-03-12
    Dose 1 — Moderna
  3. 2021-03-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore arm at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-26
    Survey response — day 14, dose 1
    MedDRA: Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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
  12. 2021-03-26
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-02
    Survey response — day 21, dose 1
    MedDRA: Erythema, Medical counselling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-02
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-04-09
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-04-16
    Survey response — day 35, dose 1
    MedDRA: Medical counselling, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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 shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-16
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-04-23
    Survey response — day 42, dose 1
    MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dermatologist said I have hives from 1st Moderna shot · Healthcare visit (other): Visit to doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-23
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-06-11
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  21. 2021-06-11
  22. 2021-06-11
  23. 2021-06-11
  24. 2021-06-11
  25. 2021-09-10
    Survey response — 6 months, dose 1
    MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still breaking out in hives from 1st shot.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-03-12
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Sore arm at site of injection

Release 6 — day 14, dose 1

2021-03-26

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

2021-04-02

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

2021-04-16

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

2021-04-23

Symptoms: Dermatologist said I have hives from 1st Moderna shot
Healthcare visit (other): Visit to doctor

Release 9 — 6 months, dose 1

2021-09-10

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPruritus ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release