5WG-25681-07590
5 vaccinations
2 coded responses
28 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 017 / MA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-21
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: GoodFree text: I have an arm rash at site of vaccine 6-15 days from when I got #1 on 4/6/21. I had no rash the days immediately after I got the shot. It got itchy the last 2 days, is swollen and hot. Im trying not to scratch it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
-
2021-05-25
Survey response — day 21, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I developed a red, itchy rash (papular eruption) on my right side shin area and top of my right shoulder on Sat, 5/22/21. It was hot to touch, very itchy and it helped to put ice on it. Its subsided today as I stopped scratching it Sun night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2021-11-22
Dose 3 — Moderna
-
2022-05-03
Dose 4 — Moderna
- 2022-05-03
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2022-05-06
Call successfulDoes not wish to fill out VAERS report
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-08-02
-
2022-10-27
Dose 5 — ModernaCo-administered: Flu
- 2022-11-03
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
| 5 | 2022-10-27 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 1
Symptoms: I have an arm rash at site of vaccine 6-15 days from when I got #1 on 4/6/21. I had no rash the days immediately after I got the shot. It got itchy the last 2 days, is swollen and hot. Im trying not to scratch it.
Release 8 — day 21, dose 2
Symptoms: I developed a red, itchy rash (papular eruption) on my right side shin area and top of my right shoulder on Sat, 5/22/21. It was hot to touch, very itchy and it helped to put ice on it. Its subsided today as I stopped scratching it Sun night.
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 pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release