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
-
2021-03-07
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 2 — Moderna
-
2021-04-05
Survey response — day 0, dose 2MedDRA: Erythema, Office visit, Peripheral swelling, Pruritus, Rash, Self-medication — Feeling: Good · Site: Redness, Swelling, ItchingFree 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
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Free text
Release 6 — day 0, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release