5MG-24567-95422
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 612 / IL
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2021-01-15
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Medical counselling, Rash papular, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: arm below injection site (towards elbow) became red, painful, itchy, and warm to touch about 1 week post vaccination. it lasted for 3 days and the bumpy rash appeared. today still have a little bumpy rash and it is still intermittently itchy. · Healthcare visit (other): just notified my dr over the phone and was advised to take benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-21
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2021-01-26
Dose 2 — Moderna
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: intermittent lowgrade fever thru 3 days post vaccination. significant swelling and redness/warmness at injection site with mild itchiness. redness cover 3/4 length of upper right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-11
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2021-02-16
Survey response — day 21, dose 2MedDRA: Contusion — Feeling: GoodFree text: bruised feeling came back on arm that was injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-03-11
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2021-04-27
Survey response — 3 months, dose 2MedDRA: Burning sensation, Menstruation irregular — Feeling: FairFree text: issues with menstrual cycle and exterior burning for no apparent reason.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-27
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2022-01-28
Survey response — 12 months, dose 2MedDRA: Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 14 days post covid booster i broke out with hives all over. They would appear in 1 spot, fade and appear in other spots hours later. was prescribed prednisone and also took benadryl, zyrtec and flonase. while it has improved, i still have issues.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: arm below injection site (towards elbow) became red, painful, itchy, and warm to touch about 1 week post vaccination. it lasted for 3 days and the bumpy rash appeared. today still have a little bumpy rash and it is still intermittently itchy.
Healthcare visit (other): just notified my dr over the phone and was advised to take benadryl.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): intermittent lowgrade fever thru 3 days post vaccination. significant swelling and redness/warmness at injection site with mild itchiness. redness cover 3/4 length of upper right arm.
Release 4 — day 21, dose 2
Symptoms: bruised feeling came back on arm that was injected.
Release 8 — 3 months, dose 2
Symptoms: issues with menstrual cycle and exterior burning for no apparent reason.
Release 11 — 12 months, dose 2
Symptoms: 14 days post covid booster i broke out with hives all over. They would appear in 1 spot, fade and appear in other spots hours later. was prescribed prednisone and also took benadryl, zyrtec and flonase. while it has improved, i still have issues. cut off by CDC
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release