YE8-24366-87527
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 032 / NH
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
-
2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Dermatitis contact, Pruritus, Swelling face — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Feels like I have poison ivy on my face it itches its swollen thats about itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Dermatitis contact, Office visit — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I found out from the doctor today that I have contact dermatitis poison ivy poison oak something like thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-24
Survey response — day 7, dose 1MedDRA: Dermatitis contact, Swelling — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: I went to the doctors yesterday found to have contact dermatitis poison ivy poison oak whatever it is prescribed prednisone Ive had two doses now and I feel fine I feel much better still a little swollen but getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-18
Dose 2 — Moderna
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-08-17
- 2021-11-16
-
2022-04-04
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-23 | Successful 2022-04-04 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Feels like I have poison ivy on my face it itches its swollen thats about it
Systemic reaction (other): I found out from the doctor today that I have contact dermatitis poison ivy poison oak something like that
Release 7 — day 7, dose 1
Systemic reaction (other): I went to the doctors yesterday found to have contact dermatitis poison ivy poison oak whatever it is prescribed prednisone Ive had two doses now and I feel fine I feel much better still a little swollen but getting better
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 | Dermatitis contact | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release