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
-
2021-01-15
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Survey response — day 7, dose 1MedDRA: 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 siteFree 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
- 2021-01-29
- 2021-02-05
- 2021-02-14
- 2021-02-19
- 2021-02-26
- 2021-04-18
- 2021-07-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Free text
Release 2 — day 7, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release