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68G-26844-71525

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
026 / MA
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Survey response — day 7, dose 1
    MedDRA: Injection site bruising, Injection site irritation, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: Fair · Site: Redness, Itching
    Free text: bruised vaccination site, rush below site, itching, need cooling, irritating, don't understand the delayed reaction.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-26
    Dose 2 — Moderna
  7. 2021-03-26
    Survey response — day 0, dose 2
    MedDRA: Self-medication, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: Welt like a bad mosquito bite on my left breast. Used benedril
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Saturday i experienced chills, exhaustion, I had to go home rest with heating pad, trink lots of water & gatorade. 2 hrs. later i recovered somewhat. Haveing a hard time ignoring the itching arm, however i was able to roll over on effected site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Limb discomfort, Pruritus, Unevaluable event — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): My left arm (vaccinated arm) ver itchy, coitchy, throbbing arm decided heat/warm in much better. · Healthcare visit (other): Contacted my Dr. office but seemed to have cured myself with mild heating pad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-30
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Site: Itching
    Free text: No - Minor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-22

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): bruised vaccination site, rush below site, itching, need cooling, irritating, don't understand the delayed reaction.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Welt like a bad mosquito bite on my left breast. Used benedril

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Saturday i experienced chills, exhaustion, I had to go home rest with heating pad, trink lots of water & gatorade. 2 hrs. later i recovered somewhat. Haveing a hard time ignoring the itching arm, however i was able to roll over on effected site.

2021-03-30

Systemic reaction (other): My left arm (vaccinated arm) ver itchy, coitchy, throbbing arm decided heat/warm in much better.
Healthcare visit (other): Contacted my Dr. office but seemed to have cured myself with mild heating pad

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): No - Minor

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
HCVOUnevaluable event ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site irritation ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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