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9CE-17388-57845

1 vaccination 1 coded response 1 check-in 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
920 / CA
Registered
2021-03-21
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-14
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Survey response — day 7, dose 1
    MedDRA: Rash pruritic, Urticaria — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Welt like itchy rash getting bigger. Took benedryl last night, but itchy and growing today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Moderna

Free text

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Welt like itchy rash getting bigger. Took benedryl last night, but itchy and growing 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
SRORash pruritic ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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