ZSE-24623-55005
1 vaccination
4 coded responses
14 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
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2021-01-27
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Hives around my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 14, dose 1MedDRA: Pruritus, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives, terrible rash that reminds me of chicken pox because it is mainly on my trunk area, though started around filler bone, itchy neck,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-10
Survey response — day 21, dose 1MedDRA: Rash pruritic, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Moderna dose 1 took place Jan 20. On Jan 26 noticed a significant itchy rash that has continued since, first on collar bone and shoulders, then progressed to general trunk area, then arms, then scalp. · Healthcare visit (other): The nurse practitioner see at (b)(6) on Feb 1 did not think it was vaccine related and sent me home with nothing other than suggesting I push back the second dose. (I was already taking benadryl and certraline). Yesterday, Feb 9th, an allergist confirmed it is definitely a drug rash and put me on Prednisone and Zyrtec. They will see me again Feb 22 before my currently scheduled 2nd dose of Mar 3.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
- 2021-02-24
- 2021-03-05
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2021-04-21
Survey response — 3 months, dose 1MedDRA: Fatigue, Myalgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day after 2nd moderna shot: muscle ache, fatigue, sore armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-21
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-03 | Unsuccessful | |
| 2021-02-10 | Unsuccessful |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Hives around my neck
Release 3 — day 14, dose 1
Symptoms: Hives, terrible rash that reminds me of chicken pox because it is mainly on my trunk area, though started around filler bone, itchy neck,
Release 4 — day 21, dose 1
Symptoms: Moderna dose 1 took place Jan 20. On Jan 26 noticed a significant itchy rash that has continued since, first on collar bone and shoulders, then progressed to general trunk area, then arms, then scalp.
Healthcare visit (other): The nurse practitioner see at (b)(6) on Feb 1 did not think it was vaccine related and sent me home with nothing other than suggesting I push back the second dose. (I was already taking benadryl and certraline). Yesterday, Feb 9th, an allergist confirmed it is definitely a drug rash and put me on Prednisone and Zyrtec. They will see me again Feb 22 before my currently scheduled 2nd dose of Mar 3.
redacted (b)(6)
Release 7 — 3 months, dose 1
Symptoms: Day after 2nd moderna shot: muscle ache, fatigue, sore arm
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release