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YBD-14969-48061

1 vaccination 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
199 / DE
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-17
    Registered in v-safe
  3. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Erythema, Hypoaesthesia, Immediate post-injection reaction, Medical counselling, Rash — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Yesterday when I received the first dose, 40 minutes after the shot I started experiencing numbness in my left hand and arm, some facial numbness. I called into the facility where I received the shot and they instructed me to go to the nearest place I could get checked out once in the hospital realized my palms had turned red and I was starting to display a rash similar to one I typically have when having an allergic reaction. I also experienced shortness of breath. After tramadol, benedryl, steroids and time they sent me home.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Survey response — day 7, dose 1
    MedDRA: Injection site induration, Injection site pruritus, Injection site reaction, Rash erythematous — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Red rash has appeared at injection site, skin is hard in area as well and itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Yesterday when I received the first dose, 40 minutes after the shot I started experiencing numbness in my left hand and arm, some facial numbness. I called into the facility where I received the shot and they instructed me to go to the nearest place I could get checked out once in the hospital realized my palms had turned red and I was starting to display a rash similar to one I typically have when having an allergic reaction. I also experienced shortness of breath. After tramadol, benedryl, steroids and time they sent me home.

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Red rash has appeared at injection site, skin is hard in area as well and 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

FieldPreferred term2021-092023-042024-11
SRODyspnoea ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓

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