5B4-22712-20755
5 vaccinations
5 coded responses
21 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-29
Registered in v-safe
- 2021-03-29
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Have appt. scheduled tomorrow at doctor's office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-08
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Cacelled doctor appt as burning sensation stopped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
-
2021-04-17
Survey response — day 14, dose 2MedDRA: Rash — Feeling: GoodFree text: Realized somewhat painful rash is still on back. Thought it had gone away. Not that bad and not taking any meds for pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-05-09
- 2021-05-16
-
2021-07-04
Survey response — 3 months, dose 2MedDRA: Herpes simplex, Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Possibly shingles on back. Mild rash across back that started 1 week after 2nd Moderna shot. Slightly painful with heat of sun. Culminated with herpes outbreak early Juneper doctor. Seems cleared up now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-04
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
- 2021-07-13
-
2021-10-04
Survey response — 6 months, dose 2MedDRA: Herpes virus infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Herpes outbreak on back in June, which ive never had before. Cleared up in about 2 weeks. · Healthcare visit (other): Dermatogist in-person visit.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-08
- 2021-10-11
-
2021-11-19
Dose 3 — Moderna
- 2022-04-03
-
2022-07-25
Dose 4 — Moderna
- 2022-10-24
-
2022-10-25
Dose 5 — Moderna
- 2023-01-24
- 2023-01-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-07-25 | Moderna | No |
| 5 | 2022-10-25 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Healthcare visit (other): Have appt. scheduled tomorrow at doctor's office.
Systemic reaction (other): Cacelled doctor appt as burning sensation stopped.
Release 7 — day 14, dose 2
Symptoms: Realized somewhat painful rash is still on back. Thought it had gone away. Not that bad and not taking any meds for pain.
Release 9 — 3 months, dose 2
Symptoms: Possibly shingles on back. Mild rash across back that started 1 week after 2nd Moderna shot. Slightly painful with heat of sun. Culminated with herpes outbreak early Juneper doctor. Seems cleared up now.
Release 9 — 6 months, dose 2
Symptoms: Herpes outbreak on back in June, which ive never had before. Cleared up in about 2 weeks.
Healthcare visit (other): Dermatogist in-person visit.
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Herpes simplex | ✓ | ✓ | ✓ |
| SD | Herpes virus infection | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release