FRD-21839-91120
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 065 / CT
- Registered
- 2021-01-14
- Relationship
- Self
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — day 14, dose 1MedDRA: Back pain, Erythema, Feeling hot, Induration, Injection site warmth, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Redness, rash, warmth in injection arm. Moving and changing in appearance daily. Resolved after two days, anx 1 week later came back worse. Hard to the touch and increasing in size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Contusion, Skin discolouration — Feeling: FairFree text: My arm appearance is still changing daily. Less purple and more red/pink. Looks more like a bruise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Redness, rash, warmth in injection arm. Moving and changing in appearance daily. Resolved after two days, anx 1 week later came back worse. Hard to the touch and increasing in size.
Release 2 — day 21, dose 1
Symptoms: My arm appearance is still changing daily. Less purple and more red/pink. Looks more like a bruise.
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 |
|---|---|---|---|---|
| SD | Back pain | ○ | ✓ | ○ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | · | ✓ |
| SD | Induration | ✓ | · | ✓ |
| SD | Injection site warmth | ○ | ✓ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release