HLZ-16635-05264
2 vaccinations
1 coded response
3 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 701 / LA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Redness, Itching · Chills, Headache, Rash, not including the immediate area around the injection site · Be unable to workAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Dose 2 — Moderna
- 2021-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Itching
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 | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release