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6GW-17268-79001

3 vaccinations 3 coded responses 30 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
207 / MD
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: About 1 March I started to have itching around injection site which has become more bothersome. Today I noticed redness and hear around injection site. The red area is 4 x 2.5 inches and is hot to touch. These sympotoms started several days after injection. The only immediate symptom was soreness and tenderness at injection site. I have never had that much tenderness before with injections but thought it was just the technique of the injection administration not any thing major and was not enough to be of concern. But about10/11 days later I noticed mild annoying itching and today I had my husband check the area and we discovered the redness and heat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Survey response — day 14, dose 1
    MedDRA: Erythema, Feeling hot, Pruritus — Feeling: Good
    Free text: 7 to 8 days after injection I started having an itchy arm around injection site. Yesterday there was a large area of erythema and heat. No obvious edema. Today there is less itching and erythema. Concern re allergy preventing 2nd dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-19
    Dose 2 — Moderna
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches
    Adult check-in
  10. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  11. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  12. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  13. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  14. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-04
    Dose 3 — Moderna
  22. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Feeling cold, Sensitivity to weather change — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: No chills but seem to feel unusually cold. Weather has gotten colder almost over night soIt may be just adjusting to the colder temperatures
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  24. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  25. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  26. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-11-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-02-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-11-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-19Moderna
32021-11-04Moderna No

Free text

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): About 1 March I started to have itching around injection site which has become more bothersome. Today I noticed redness and hear around injection site. The red area is 4 x 2.5 inches and is hot to touch. These sympotoms started several days after injection. The only immediate symptom was soreness and tenderness at injection site. I have never had that much tenderness before with injections but thought it was just the technique of the injection administration not any thing major and was not enough to be of concern. But about10/11 days later I noticed mild annoying itching and today I had my husband check the area and we discovered the redness and heat.

Release 5 — day 14, dose 1

2021-03-06

Symptoms: 7 to 8 days after injection I started having an itchy arm around injection site. Yesterday there was a large area of erythema and heat. No obvious edema. Today there is less itching and erythema. Concern re allergy preventing 2nd dose.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): No chills but seem to feel unusually cold. Weather has gotten colder almost over night soIt may be just adjusting to the colder temperatures

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
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROFeeling cold · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROSensitivity to weather change · · ✓

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