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5DC-31835-64374

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
013 / MA
Registered
2021-02-04
Relationship
Self

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Survey response — day 7, dose 1
    MedDRA: Incorrect route of product administration — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: When I had my second covid vaccine it was administered incorrectly in the adipose tissue near the bicep instead of where it should be in the deltoid. The symptoms I checked were when I first got the vaccine which I had a delayed reaction from due to this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Contusion, Injection site pruritus — Feeling: Good
    Free text: Instead of the red inflamed reaction of when it was in adipose tissue, it appears bruised in the tissue in that reaction and the skin is very dry, itchy and kind of peeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna

Free text

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): When I had my second covid vaccine it was administered incorrectly in the adipose tissue near the bicep instead of where it should be in the deltoid. The symptoms I checked were when I first got the vaccine which I had a delayed reaction from due to this.

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Instead of the red inflamed reaction of when it was in adipose tissue, it appears bruised in the tissue in that reaction and the skin is very dry, itchy and kind of peeling

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
SDContusion ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SROIncorrect route of product administration ✓ ✓ ✓

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