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ZW5-19615-25763

2 vaccinations 3 coded responses 9 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
207 / MD
Registered
2021-05-11
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-27
    Dose 1 — Moderna
  2. 2021-05-11
    Registered in v-safe
  3. 2021-05-11
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Injection site swelling, Pruritus, Self-medication, Tenderness — Feeling: Good
    Free text: Rash/hard swelling at injection site.The swelling is tender and itchy. Size of oreo cookie. Treating with cortisone cream and rubbing alcohol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-18
    Survey response — day 21, dose 1
    MedDRA: Rash, Rash pruritic, Self-medication, Tenderness — Feeling: Good
    Free text: The Noderna rash grew past the size of a oreo cookie to cover my arm from shoulder to near elbow w/intense itching. Hydrocortisone cream and Benadryl were not helping but ice helped. Tenderness left the are once rash spread.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-27
    Dose 2 — Moderna
  7. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  8. 2021-06-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  9. 2021-06-06
    Survey response — day 7, dose 2
    MedDRA: Injection site nodule — Feeling: Good · Site: Swelling · Muscle or body aches
    Free text: Golf ball-sized knots at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-27Moderna
22021-05-27Moderna

Free text

Release 8 — day 14, dose 1

2021-05-11

Symptoms: Rash/hard swelling at injection site.The swelling is tender and itchy. Size of oreo cookie. Treating with cortisone cream and rubbing alcohol.

Release 8 — day 21, dose 1

2021-05-18

Symptoms: The Noderna rash grew past the size of a oreo cookie to cover my arm from shoulder to near elbow w/intense itching. Hydrocortisone cream and Benadryl were not helping but ice helped. Tenderness left the are once rash spread.

Release 8 — day 7, dose 2

2021-06-06

Systemic reaction (other): Golf ball-sized knots at injection site

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 rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓

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