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
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2021-01-28
Dose 1 — Moderna
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2021-02-04
Registered in v-safe
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2021-02-04
Survey response — day 7, dose 1MedDRA: Incorrect route of product administration — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree 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
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2021-02-15
Survey response — day 14, dose 1MedDRA: Contusion, Injection site pruritus — Feeling: GoodFree 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 peelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna |
Free text
Release 3 — day 7, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Incorrect route of product administration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release