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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

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-08
    Dose 2 — Moderna
  8. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  9. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Rash, Self-medication — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Free 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
  10. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: Rash pruritic — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free 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
  11. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: 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 visit
    Free 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
  12. 2021-02-23
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-03
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free text: Continue with a body rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-03
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-04
  20. 2021-10-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

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.

2021-02-13

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

2021-02-15

Systemic reaction (other): Itching and rash on hands and feet. Needing to take scheduled Benedryl.

Release 4 — day 14, dose 2

2021-02-23

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

2021-03-03

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

FieldPreferred term2021-092023-042024-11
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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