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5DP-14566-61835

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
656 / MO
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  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. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Injection site urticaria, Self-medication — Feeling: Good
    Free text: Hives from injection site down the arm from days 8-10. Used Cortisone cream on the 10th day which seemed to calm the area. Diminished on day 11 and gone by day 12.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-02
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Hypersensitivity, Medical counselling, Pruritus, Rash, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Exposed to poison ivy on 3/27, rash went systemic. Saw doctor on 3/31 and received a steriod shot; no pills as Im due for 2nd coved vac on 4/9. Taking Benadryl and Zyrtec to manage itching. Very fatigued. Dr said I was reacting as if Ive had Co
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-02
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-08
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-09
    Dose 2 — Moderna
  14. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Good · Site: Redness · Diarrhea
    Free text: Had hives on the arm below the injection site (same place as from first injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Rectal discharge — Feeling: Good · Site: Redness · Diarrhea
    Free text: Colon discharge that is clear phlegm/mucus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-15
  22. 2021-07-11
    Survey response — 3 months, dose 2
    MedDRA: Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Injection arm continues to be sore - elbow pain, and cannot stretch my arm out fully.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-09Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Hives from injection site down the arm from days 8-10. Used Cortisone cream on the 10th day which seemed to calm the area. Diminished on day 11 and gone by day 12.

Release 6 — day 21, dose 1

2021-04-02

Symptoms: Exposed to poison ivy on 3/27, rash went systemic. Saw doctor on 3/31 and received a steriod shot; no pills as Im due for 2nd coved vac on 4/9. Taking Benadryl and Zyrtec to manage itching. Very fatigued. Dr said I was reacting as if Ive had Co

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Had hives on the arm below the injection site (same place as from first injection)

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Colon discharge that is clear phlegm/mucus

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: Injection arm continues to be sore - elbow pain, and cannot stretch my arm out fully.

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
SDFatigue ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDInjection site urticaria ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SRORectal discharge ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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

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