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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

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Nausea
    Adult check-in
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site induration — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Area of injection has become rigid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-12
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pruritus — Feeling: Good
    Free 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 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good · Site: Pain
    Free text: Just bad taste in mouth about 40 min after the shot. Same with first shot. Went away after few hrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Pain in arm made entire arm feel numb over night. Not as bad at this time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  20. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-30
    Survey response — 6 months, dose 2
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Back has a rash. Dr thinks new allergy to what ever is used to press logos onto shirts
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-07-30
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-11
  28. 2021-08-23
  29. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-30 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Area of injection has become rigid

Release 1 — day 14, dose 1

2021-01-12

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

2021-01-27

Systemic reaction (other): Just bad taste in mouth about 40 min after the shot. Same with first shot. Went away after few hrs

2021-01-28

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

2021-07-30

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

FieldPreferred term2021-092023-042024-11
SDInjection site erythema ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDRash ✓ · ✓
SRODysgeusia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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