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
-
2021-02-20
Dose 1 — Moderna
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2021-03-02
Registered in v-safe
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2021-03-02
Survey response — day 7, dose 1MedDRA: Ear pain, Injection site rash — Feeling: Good · Site: Redness, ItchingFree 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
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2021-03-06
Survey response — day 14, dose 1MedDRA: 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 consultationFree 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
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2021-03-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
- 2021-03-24
- 2021-03-25
- 2021-03-27
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2021-04-03
Survey response — day 14, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: Upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
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2021-06-20
Survey response — 3 months, dose 2MedDRA: Laryngitis, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree 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
- 2021-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 7, dose 1
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
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
Symptoms: Upset stomach
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Laryngitis | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release