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Z62-28189-53029

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
925 / CA
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — day 21, dose 1
    MedDRA: Rash, Rash erythematous — Feeling: Good
    Free text: I still have a yellow mark around the injection site and I still have a mild red rash below the injection site. I received my 1st dose of the Moderna vaccine 23 days ago. The rash does NOT itch and there is no pain. I have photos available.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Dose 2 — Moderna
  5. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Neuropathy peripheral, Pruritus, Skin burning sensation — Feeling: Good
    Free text: I received my 2nd Modena shot on 3/11/21. Two weeks after that I developed neuropathy symptoms - itching and burning on top of my head. I reported these to my Primary Care Physician on 5/25/21. The symptoms lasted till the end of July.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Free text

Release 5 — day 21, dose 1

2021-03-07

Symptoms: I still have a yellow mark around the injection site and I still have a mild red rash below the injection site. I received my 1st dose of the Moderna vaccine 23 days ago. The rash does NOT itch and there is no pain. I have photos available.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: I received my 2nd Modena shot on 3/11/21. Two weeks after that I developed neuropathy symptoms - itching and burning on top of my head. I reported these to my Primary Care Physician on 5/25/21. The symptoms lasted till the end of July.

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
SDNeuropathy peripheral · · ✓
SDPruritus · · ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDSkin burning sensation · · ✓

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