ZMU-86358-26813
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 212 / MD
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site induration — Feeling: Good · Site: Pain, Redness, ItchingFree text: Area of injection has become rigidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site mass, Injection site pruritus — Feeling: GoodFree text: Area of injection last thursday got itchy again turned ree. Area became hit again and felt like under skin had an egg under about quarter sized. Went away after 3 more daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Just bad taste in mouth about 40 min after the shot. Same with first shot. Went away after few hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good · Site: PainFree text: Pain in arm made entire arm feel numb over night. Not as bad at this timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back has a rash. Dr thinks new allergy to what ever is used to press logos onto shirtsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
- 2021-08-23
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-30 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Area of injection has become rigid
Release 1 — day 14, dose 1
Symptoms: Area of injection last thursday got itchy again turned ree. Area became hit again and felt like under skin had an egg under about quarter sized. Went away after 3 more days
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Just bad taste in mouth about 40 min after the shot. Same with first shot. Went away after few hrs
Systemic reaction (other): Pain in arm made entire arm feel numb over night. Not as bad at this time
Release 9 — 6 months, dose 2
Symptoms: Back has a rash. Dr thinks new allergy to what ever is used to press logos onto shirts
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release