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6WP-11896-48905

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
294 / SC
Registered
2021-04-05
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-07
    Dose 1 — Moderna
  2. 2021-04-05
    Registered in v-safe
  3. 2021-04-05
    Dose 2 — Moderna
  4. 2021-04-05
    Survey response — day 0, dose 2
    MedDRA: Erythema, Office visit, Peripheral swelling, Pruritus, Rash, Self-medication — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: I have both forearms swollen and red. The upper portion of both arms have like red dots, as does both sides of my torso. My neck is a little red and itchy, but not swollen. I had prescribed asteroids for a week, which took the redness and swollen condition away, only to return shortly there after stopping. I take Allegra once a day and rub the red and swollen areas with baseline and aquaphor ointment. The symptoms came about a few days after the first vaccine, but have lingered til today. I plan to see the doctor again tomorrow. I was seen by a doctor prior to the second shot today!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-07Moderna
22021-04-05Moderna

Free text

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): I have both forearms swollen and red. The upper portion of both arms have like red dots, as does both sides of my torso. My neck is a little red and itchy, but not swollen. I had prescribed asteroids for a week, which took the redness and swollen condition away, only to return shortly there after stopping. I take Allegra once a day and rub the red and swollen areas with baseline and aquaphor ointment. The symptoms came about a few days after the first vaccine, but have lingered til today. I plan to see the doctor again tomorrow. I was seen by a doctor prior to the second shot today!

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
SROErythema ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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