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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

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-30
    Dose 2 — Moderna
  3. 2021-02-01
    Registered in v-safe
  4. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free 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 site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-01
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-06-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  7. 2021-08-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-09-10
    Dose 3 — Moderna
    Co-administered: yes
  9. 2021-10-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna
32021-09-10Moderna Yes

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

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

FieldPreferred term2021-092023-042024-11
HCVOSkin reaction ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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