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5HB-21037-09853

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
487 / MI
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-29
    Registered in v-safe
  3. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Injection site rash, Medical counselling, Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Rash showed 10days after injection at site, on neck, and on other arm. · Healthcare visit (other): Pharmacist at(b)(6)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Pruritus, Rash, Vaccination site rash — Feeling: Good
    Free text: The rash at vaccine site increased, went from area of vaccine over to upper area stopped before getting into arm pit, not under arm. Other arm from upper arm to below elbow. Neckline increased. Itching subsiding & signs of healing now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-23
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-27
    Dose 2 — Moderna
  10. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Slight rash from first day that comes & goes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Itches more today. Using Benadryl cream.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache, Muscle or body aches
    Adult check-in
  18. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-27
  24. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-27Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Rash showed 10days after injection at site, on neck, and on other arm.
Healthcare visit (other): Pharmacist at(b)(6)
redacted (b)(6)

Release 3 — day 14, dose 1

2021-02-02

Symptoms: The rash at vaccine site increased, went from area of vaccine over to upper area stopped before getting into arm pit, not under arm. Other arm from upper arm to below elbow. Neckline increased. Itching subsiding & signs of healing now.

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Slight rash from first day that comes & goes

2021-03-03

Systemic reaction (other): Itches more today. Using Benadryl cream.

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
HCVOMedical counselling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVaccination site rash ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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