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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

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2021-01-15
    Survey response — day 14, dose 1
    MedDRA: 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 professional
    Free 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
  4. 2021-01-15
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-26
    Dose 2 — Moderna
  7. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 consultation
    Free 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
  8. 2021-01-30
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-16
    Survey response — day 21, dose 2
    MedDRA: Contusion — Feeling: Good
    Free text: bruised feeling came back on arm that was injected.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-11
  18. 2021-04-27
    Survey response — 3 months, dose 2
    MedDRA: Burning sensation, Menstruation irregular — Feeling: Fair
    Free 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
  19. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  21. 2022-01-28
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-01-31

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-15

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

2021-01-30

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

2021-02-16

Symptoms: bruised feeling came back on arm that was injected.

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: issues with menstrual cycle and exterior burning for no apparent reason.

Release 11 — 12 months, dose 2

2022-01-28

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMenstruation irregular ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSelf-medication · · ✓
SDUrticaria · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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