62P-25740-80532
4 vaccinations
3 coded responses
38 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Injection site pruritus, Self-medication — Feeling: Good · Site: Pain, ItchingFree text: Prior to my shot, following doctors advice, I took Tylenol. I took more at dinner and at bedtime and at breakfast the following day. During that time I had no noticeable pain or itching at the injection site. After stopping the Tylenol the pain and itching became noticeable. This is not a problem.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: ItchingFree text: Eczema-type silver-dollar sized itching patch around the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: ItchingFree text: Continuing eczema-like redness and itching around the injection site. Better since I applied hydrocortisone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-17
Dose 2 — Moderna
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-10-20
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2022-01-19
-
2022-03-30
Dose 4 — Moderna
- 2022-04-18
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-06-29
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Prior to my shot, following doctors advice, I took Tylenol. I took more at dinner and at bedtime and at breakfast the following day. During that time I had no noticeable pain or itching at the injection site. After stopping the Tylenol the pain and itching became noticeable. This is not a problem.
Systemic reaction (other): Eczema-type silver-dollar sized itching patch around the injection site.
Systemic reaction (other): Continuing eczema-like redness and itching around the injection site. Better since I applied hydrocortisone.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release