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5QU-30369-01400

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
191 / PA
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-03-02
    Registered in v-safe
  3. 2021-03-02
    Survey response — day 7, dose 1
    MedDRA: Ear pain, Injection site rash — Feeling: Good · Site: Redness, Itching
    Free text: ear ache 8 days after injection. Rash at injection site 24 hours after injection. Rash returned on 8th day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site rash, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: 8 days after vaccine I got a big red very itchy rash around injection site. I had a similar rash that bloomed within 24 hours of the injection. Each rash lasted about 4 days. When 2nd rash bloomed my left ear ached on side opposite injection · Healthcare visit (other): Emailed dermatologist who said use Saran for itch and get 2nd injection as scheduled.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-20
    Dose 2 — Moderna
  8. 2021-03-20
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-03
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-20
    Survey response — 3 months, dose 2
    MedDRA: Laryngitis, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free text: I got a cold one week ago, including one day of laryngitis., which often happens when I get a cold. . I got a test and it was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-11-13

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna

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 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): ear ache 8 days after injection. Rash at injection site 24 hours after injection. Rash returned on 8th day.

Release 5 — day 14, dose 1

2021-03-06

Symptoms: 8 days after vaccine I got a big red very itchy rash around injection site. I had a similar rash that bloomed within 24 hours of the injection. Each rash lasted about 4 days. When 2nd rash bloomed my left ear ached on side opposite injection
Healthcare visit (other): Emailed dermatologist who said use Saran for itch and get 2nd injection as scheduled.

Release 6 — day 14, dose 2

2021-04-03

Symptoms: Upset stomach

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: I got a cold one week ago, including one day of laryngitis., which often happens when I get a cold. . I got a test and it was negative.

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 ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDLaryngitis ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓

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