5RE-32689-94095
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 198 / DE
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
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2021-02-01
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-06
Survey response — day 14, dose 1MedDRA: Erythema, Pain, Skin warm, Urticaria — Feeling: FairFree text: red hive that appeared lat week has hotten larger and is sore and hot to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Muscle tightness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection siteFree text: on 2.20 day of 2nd injection had tightness and feeling of binding in chest and upper back. ice pack on back for 30min relieved some of the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-27
Health check-in — day 7, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-06
Survey response — day 14, dose 2MedDRA: Rash, Rash erythematous, Rash papular, Rash pruritic — Feeling: FairFree text: rash on throat by thyroid returned. large 4 patch. extremely red raised and itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 21, dose 2MedDRA: Burning sensation, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: rash on neck continued to spread, was raw and burning. went to med aid for the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
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2021-03-27
Survey response — day 35, dose 2MedDRA: Rash — Feeling: FairFree text: rash on throat and neck has returned and spread to new areas on neck and cheeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-05-24
- 2021-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: red hive that appeared lat week has hotten larger and is sore and hot to touch.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): on 2.20 day of 2nd injection had tightness and feeling of binding in chest and upper back. ice pack on back for 30min relieved some of the pain.
Release 5 — day 14, dose 2
Symptoms: rash on throat by thyroid returned. large 4 patch. extremely red raised and itchy
Release 5 — day 21, dose 2
Symptoms: rash on neck continued to spread, was raw and burning. went to med aid for the pain.
Release 6 — day 35, dose 2
Symptoms: rash on throat and neck has returned and spread to new areas on neck and cheeks.
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 |
|---|---|---|---|---|
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release