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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

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Fair
    Free 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 arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Survey response — day 21, dose 1
    MedDRA: Erythema, Immunisation reaction, Rash erythematous, Rash pruritic — Feeling: Good
    Free 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
  6. 2021-02-15
    Dose 2 — Moderna
  7. 2021-02-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache
    Adult check-in
  10. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free text: Systemic reaction (other): My arm is a red band and hot itchy · Healthcare visit (other): My primary doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-18
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  13. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Redness, Itching · None
    Adult check-in
  14. 2021-03-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-06
  18. 2021-08-17
    Survey response — 6 months, dose 2
    MedDRA: Bronchitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Acute Bronchitis, just a shade away from pneumonia
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-18 Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-01

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

2021-02-08

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

2021-02-18

Systemic reaction (other): My arm is a red band and hot itchy
Healthcare visit (other): My primary doctor

Release 9 — 6 months, dose 2

2021-08-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBronchitis ✓ · ✓
SDErythema ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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