5DZ-16580-32040
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 812 / CO
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Myalgia, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: I had 103 degree fever, intense body chills, severe headache, severeMuscle aches starting 12 hours after my second injection, last for 36 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash, Self-medication — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to workFree text: Rash on feet moving up towards knees, on palms and backs of hands, and on my flank. Itching is driving me crazy. Benedryl is not helping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — day 7, dose 2MedDRA: Rash pruritic — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Itching and rash on hands and feet. Needing to take scheduled Benedryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 14, dose 2MedDRA: Pruritus, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: All over body rash with extreme itching. Hands, feet, ear canals, ankles, arms, back, hips and behind my knees all affected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-03
Survey response — day 21, dose 2MedDRA: Rash — 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 visitFree text: Continue with a body rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-03-22
- 2021-05-13
- 2021-08-09
- 2021-10-04
- 2021-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had 103 degree fever, intense body chills, severe headache, severeMuscle aches starting 12 hours after my second injection, last for 36 hours.
Systemic reaction (other): Rash on feet moving up towards knees, on palms and backs of hands, and on my flank. Itching is driving me crazy. Benedryl is not helping.
Release 4 — day 7, dose 2
Systemic reaction (other): Itching and rash on hands and feet. Needing to take scheduled Benedryl.
Release 4 — day 14, dose 2
Symptoms: All over body rash with extreme itching. Hands, feet, ear canals, ankles, arms, back, hips and behind my knees all affected.
Release 5 — day 21, dose 2
Symptoms: Continue with a body rash.
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release