5FJ-19319-76601
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 027 / MA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Injection site erythema — Feeling: GoodFree text: Still have the Covid armits red bullseye at the ink site but around it is a lighter red that is probably the size of a softball in diameter, maybe a bit larger. It seems to be fading but today marks day 7 since it appeared for first time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Dose 2 — Moderna
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-10
- 2021-09-01
-
2022-03-03
Survey response — 12 months, dose 2MedDRA: Mechanical urticaria, Office visit, Rash pruritic, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Crazy rash that itched uncontrollably 12 days after my booster shot. I had to take Zyrtec twice a day for two months and now I'm down to once a week. I experienced what seem to be dermatographia. As time has gone on the symptoms have gotten less · Healthcare visit (other): DermatologistMedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-04
-
2022-03-05
Callback requested for09:30AM ET
- 2022-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: Still have the Covid armits red bullseye at the ink site but around it is a lighter red that is probably the size of a softball in diameter, maybe a bit larger. It seems to be fading but today marks day 7 since it appeared for first time.
Release 11 — 12 months, dose 2
Symptoms: Crazy rash that itched uncontrollably 12 days after my booster shot. I had to take Zyrtec twice a day for two months and now I'm down to once a week. I experienced what seem to be dermatographia. As time has gone on the symptoms have gotten less
Healthcare visit (other): Dermatologist
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release