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ZCJ-20872-75245

3 vaccinations 2 coded responses 22 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
453 / OH
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches
    Free text: On day 7 after first injection I developed itching, a 3 warm redness and some soreness around the injection site. For the 7 days prior I only had a very slight soreness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Injection site discomfort, Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: Good
    Free text: 8 days after receiving the vaccine the area area around the injection site started itching. For about 2 days it itched, was red, warm to touch and very slightly uncomfortable. The redness was approximately a 3 inch circle. There was no obvious center
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-01
    Dose 2 — Moderna
  6. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-29
    Dose 3 — Moderna
  13. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  17. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  19. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna
32021-10-29Moderna No

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): On day 7 after first injection I developed itching, a 3 warm redness and some soreness around the injection site. For the 7 days prior I only had a very slight soreness.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: 8 days after receiving the vaccine the area area around the injection site started itching. For about 2 days it itched, was red, warm to touch and very slightly uncomfortable. The redness was approximately a 3 inch circle. There was no obvious center cut off by CDC

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
SDInjection site discomfort ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓

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