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ZFJ-14571-16727

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
705 / LA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site pain, Muscle tightness, Rash — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Injection site and rash painful. Feels like a muscle tightness Is red also. The injection site is about the size of a dime the rash 2 inches below is about the size of a silver dollar
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Office visit, Rash — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): Rash was on left arm only moving over body now · Healthcare visit (other): Went yesterday when rash appeared getting worse Friday night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-31
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Office visit, Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I saw PCP today he said it was a reaction to the vaccine. Took me off Prednisone and said it was fighting vaccine purpose. Told me take 25 mg of Benadryl the day I go for 2nd vaccine shot as it is a rash but not itching or burning mild reaction. He said definitely get 2 nd shot and let him know if this gets worse · Healthcare visit (other): My PCP office in person
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-01
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Dose 2 — Moderna
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-01

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-25Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-31 Successful Other
2021-02-01 Successful
2021-06-01
Other

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Injection site and rash painful. Feels like a muscle tightness Is red also. The injection site is about the size of a dime the rash 2 inches below is about the size of a silver dollar

2021-01-31

Systemic reaction (other): Rash was on left arm only moving over body now
Healthcare visit (other): Went yesterday when rash appeared getting worse Friday night

2021-02-01

Systemic reaction (other): I saw PCP today he said it was a reaction to the vaccine. Took me off Prednisone and said it was fighting vaccine purpose. Told me take 25 mg of Benadryl the day I go for 2nd vaccine shot as it is a rash but not itching or burning mild reaction. He said definitely get 2 nd shot and let him know if this gets worse
Healthcare visit (other): My PCP office in person

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 ✓ ✓ ✓
HCVORash ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SRORash ✓ ✓ ✓

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