P8Y-15775-73556
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 931 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-30
Dose 2 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Skin reaction, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): A patch 6x6 cm2 of extremely red and hot skin surface appeared 24 hrs post vaccination (2nd dose only) · Healthcare visit (other): Skin reaction 2.5 inches below the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-02
-
2021-09-10
Dose 3 — ModernaCo-administered: yes
- 2021-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-09-10 | Moderna | Yes |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): A patch 6x6 cm2 of extremely red and hot skin surface appeared 24 hrs post vaccination (2nd dose only)
Healthcare visit (other): Skin reaction 2.5 inches below the injection site
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 |
|---|---|---|---|---|
| HCVO | Skin reaction | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release