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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

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-21
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good
    Free 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
  7. 2021-04-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-04
    Dose 2 — Moderna
  9. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  12. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  13. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-25
    Survey response — day 21, dose 2
    MedDRA: Rash, Rash erythematous, Rash pruritic, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free 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
  18. 2021-05-25
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-22
    Dose 3 — Moderna
  25. 2022-05-03
    Dose 4 — Moderna
  26. 2022-05-03
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2022-05-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  28. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  29. 2022-05-06
    Call successful
    Does not wish to fill out VAERS report
  30. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  31. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-08-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-27
    Dose 5 — Moderna
    Co-administered: Flu
  35. 2022-11-03
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-11-03
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna
32021-11-22Moderna No
42022-05-03Moderna No
52022-10-27Moderna Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-21

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

2021-05-25

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

FieldPreferred term2021-092023-042024-11
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓

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