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6BW-31293-52680

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
51-55
ZIP prefix
378 / TN
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Registered in v-safe
  2. 2021-03-15
    Dose 1 — Moderna
  3. 2021-03-15
    Survey response — day 0, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: upper back itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Dose 2 — Moderna
  14. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Hypersensitivity, Office visit, Peripheral swelling, Rash, Rash pruritic — Feeling: Good
    Free text: On Saturday, four days after my second dose in my left shoulder, I had some rash-like redness and swelling on my right forearm. I saw a doctor, who thought it was a mild allergic reaction to the second dose. He prescribed three days worth of prednisone. Today is my last day for that. Last night, I had red rash-like stripes and swelling around my right shoulder blade. Today, I seem to have a small rash in my upper middle back. Only the rash around my right shoulder blade has itched.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Rash, Rash erythematous, Rash papular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I have had a few rashes (red, raised, stripe-like areas) on my right forearm and chest/shoulder area. They usually go away within about an hour. I have discussed this with my doctor and am taking cetirizine twice per day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-11
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-05-18
    Survey response — day 35, dose 2
    MedDRA: Rash erythematous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I continue to have occasional red, rash-like areas with a stripe-like appearance in a few areas. This occurs randomly and goes away in about an hour. I have been taking cetirizine twice a day. I am seeing a doctor today. Overall, seems to be mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-18
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-10
  24. 2022-04-14

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-13Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-15

Systemic reaction (other): upper back itchy

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): On Saturday, four days after my second dose in my left shoulder, I had some rash-like redness and swelling on my right forearm. I saw a doctor, who thought it was a mild allergic reaction to the second dose. He prescribed three days worth of prednisone. Today is my last day for that. Last night, I had red rash-like stripes and swelling around my right shoulder blade. Today, I seem to have a small rash in my upper middle back. Only the rash around my right shoulder blade has itched.

Release 8 — day 28, dose 2

2021-05-11

Symptoms: I have had a few rashes (red, raised, stripe-like areas) on my right forearm and chest/shoulder area. They usually go away within about an hour. I have discussed this with my doctor and am taking cetirizine twice per day.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: I continue to have occasional red, rash-like areas with a stripe-like appearance in a few areas. This occurs randomly and goes away in about an hour. I have been taking cetirizine twice a day. I am seeing a doctor today. Overall, seems to be mild.

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
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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