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HYD-27269-77591

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
980 / WA
Registered
2021-01-15
Relationship
Self

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Survey response — day 7, dose 1
    MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Itching
    Free text: Rash around injection site is 2.5 in by 2.25 in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Fair
    Free text: Rash on arm getting bigger
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna

Free text

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Rash around injection site is 2.5 in by 2.25 in

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Rash on arm getting bigger

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
SDRash ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓

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

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