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
-
2021-02-11
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — day 21, dose 1MedDRA: Rash, Rash erythematous — Feeling: GoodFree 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
-
2021-03-11
Dose 2 — Moderna
- 2021-03-18
- 2021-04-10
- 2021-04-15
- 2021-04-22
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Neuropathy peripheral, Pruritus, Skin burning sensation — Feeling: GoodFree 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
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 5 — day 21, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release