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5R2-17838-64386

1 vaccination 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
928 / CA
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Survey response — day 7, dose 1
    MedDRA: Erythema, Immunisation reaction, Inflammation, Pain, Pruritus, Rash, Skin warm — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: Arm Rash/Inflammation/itchy red sore hot present first four days got better for couple days and then one week after injection came back with a vengeance spread to a much wider area than first time around-still itchy hot red sore or at 12 days now since injection-is this normal? List of side effects for vaccine said 2 to 3 days of the arm rash-two coworkers with same lot have same reaction one was a different day different clinic site. (b)(6)-we are all unsure if it is safe to get a second shot since we have this weird allergic reaction one week later.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-19
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-26
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-18
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-07-18
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna

Free text

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Arm Rash/Inflammation/itchy red sore hot present first four days got better for couple days and then one week after injection came back with a vengeance spread to a much wider area than first time around-still itchy hot red sore or at 12 days now since injection-is this normal? List of side effects for vaccine said 2 to 3 days of the arm rash-two coworkers with same lot have same reaction one was a different day different clinic site. (b)(6)-we are all unsure if it is safe to get a second shot since we have this weird allergic reaction one week later.
redacted (b)(6)

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
SROErythema ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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