ZDR-24991-80617
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 351 / AL
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-01-18
Dose 1 — Moderna
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2021-01-28
Registered in v-safe
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2021-01-28
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: FairFree text: Took vaccine on 18th morning of 19th injection site red and red streak down my arm faded some in 3 days on Jan 26th arm itching had big long red place on my arm this is sixth day still on armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — day 21, dose 1MedDRA: Erythema, Immunisation reaction, Rash erythematous, Rash pruritic — Feeling: GoodFree text: Covid Arm my arm had red streak the day after vaccine then on26th of Jan had red itchy rash the patch of inflamed skin was 6 inches long 3 inches wide lasted for 11 days.....should I take my other vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Dose 2 — Moderna
- 2021-02-15
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · HeadacheAdult check-in
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Feeling hot, Office visit, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My arm is a red band and hot itchy · Healthcare visit (other): My primary doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-08-06
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Bronchitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Acute Bronchitis, just a shade away from pneumoniaMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: Took vaccine on 18th morning of 19th injection site red and red streak down my arm faded some in 3 days on Jan 26th arm itching had big long red place on my arm this is sixth day still on arm
Release 3 — day 21, dose 1
Symptoms: Covid Arm my arm had red streak the day after vaccine then on26th of Jan had red itchy rash the patch of inflamed skin was 6 inches long 3 inches wide lasted for 11 days.....should I take my other vaccine?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My arm is a red band and hot itchy
Healthcare visit (other): My primary doctor
Release 9 — 6 months, dose 2
Symptoms: Acute Bronchitis, just a shade away from pneumonia
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release