5PH-20719-83959
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: PainFree text: Muscle pain little bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
-
2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just muscle pain where shot wasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Medical counselling — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Where i had my shot my arm is red. Ive been doing cold compress with ice pack. · Healthcare visit (other): Called the place i had my shot at.talked to them about my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Office visit, Rash, Rash erythematous — Feeling: Good · Site: Redness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Went saturday 15th to Immediate care about my right arm i had red rash from the 2nd Moderna shot. I was given Amoxicillin 500mg. The woman thought it had affection in it. She wrote down when the needle was introduced to the skin it picked up bacteria (germs) take Amoxicillin. Reaction to the covid immunization · Healthcare visit (other): Immediate careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-08-12
- 2021-11-11
-
2022-05-09
Call successfulNot applicable - Accidental Reporting
-
2022-05-09
Call successfulNot applicable - Accidental Reporting
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle pain little bit
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just muscle pain where shot was
Systemic reaction (other): Where i had my shot my arm is red. Ive been doing cold compress with ice pack.
Healthcare visit (other): Called the place i had my shot at.talked to them about my arm
Systemic reaction (other): Went saturday 15th to Immediate care about my right arm i had red rash from the 2nd Moderna shot. I was given Amoxicillin 500mg. The woman thought it had affection in it. She wrote down when the needle was introduced to the skin it picked up bacteria (germs) take Amoxicillin. Reaction to the covid immunization
Healthcare visit (other): Immediate care
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 | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release