5UV-99198-56647
3 vaccinations
10 coded responses
23 check-ins
10 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 189 / PA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
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2021-01-15
Survey response — day 0, dose 1MedDRA: Flushing, Pruritus, Rash — Feeling: Good · Site: PainFree text: A few little clear bumps on both arms, some itchiness, and slight flushed sensation but no fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pruritus — Feeling: Good · Site: Pain · HeadacheFree text: Itchiness and flushed feeling in the face. Benadryl is sufficient.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pruritus, Self-medication — Feeling: Good · Site: PainFree text: Slight itchiness and flushed feeling in face. Both have decreased in severity but are still slightly noticeable. Benadryl completely relieves both symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pruritus, Self-medication — Feeling: Good · Site: PainFree text: Slight subtle itchiness and flushed sensation. Symptoms continue to decrease in frequency and intensity. Benadryl relieves the symptoms entirely.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
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2021-01-22
Survey response — day 7, dose 1MedDRA: Pruritus, Self-medication — Feeling: GoodFree text: Slight subtle itchiness. Continues to be less frequent and intense. Subsides with Benadryl for longer than the effective duration of the Benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 14, dose 1MedDRA: Injection site erythema — Feeling: GoodFree text: Redness at site of administration which began fading relatively soon after it was noticed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-09
Dose 2 — Moderna
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Very slight itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Very slight itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Joint pains, Muscle or body achesFree text: Very slight itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Occasional very slight itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
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2021-12-19
Dose 3 — Moderna
- 2022-02-11
- 2022-03-20
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-19 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): A few little clear bumps on both arms, some itchiness, and slight flushed sensation but no fever.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Itchiness and flushed feeling in the face. Benadryl is sufficient.
Systemic reaction (other): Slight itchiness and flushed feeling in face. Both have decreased in severity but are still slightly noticeable. Benadryl completely relieves both symptoms.
Systemic reaction (other): Slight subtle itchiness and flushed sensation. Symptoms continue to decrease in frequency and intensity. Benadryl relieves the symptoms entirely.
Release 2 — day 7, dose 1
Systemic reaction (other): Slight subtle itchiness. Continues to be less frequent and intense. Subsides with Benadryl for longer than the effective duration of the Benadryl.
Release 3 — day 14, dose 1
Symptoms: Redness at site of administration which began fading relatively soon after it was noticed.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very slight itchiness
Systemic reaction (other): Very slight itchiness
Systemic reaction (other): Very slight itchiness
Release 4 — day 7, dose 2
Systemic reaction (other): Occasional very slight itchiness
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release