279-41434-66901
5 vaccinations
11 coded responses
31 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 900 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Dose 1 — Moderna
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2021-02-02
Registered in v-safe
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2021-02-02
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Pain, Redness, ItchingFree text: Today is Day 12 - new itching and large red circle about 2.5" in diameter around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Lymphadenectomy, Pruritus, Rash erythematous, Type IV hypersensitivity reaction — Feeling: GoodFree text: Reported at signup: Had Covid Arm, delayed cutaneous hypersensitivity, 12th Day, with day of shot as Day 1. Itchy, red rash 3 diameter. Faded after ~36 hours. Recommendations are get 2nd in other arm, but had lymph node removed in other arm. ???MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 21, dose 1MedDRA: Arthralgia, Dermatitis allergic, Inflammation, Joint swelling — Feeling: FairFree text: Had delayed cutaneous hypersensitivity 10 days after shot. On 5th Day, might have reported a lump on join on pinky which allergist told me it could be an inflammatory reaction. NEWER: Yesterday, 3 wks after, knee & hip hurt a lot; felt arthritic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 28, dose 1MedDRA: Headache — Feeling: GoodFree text: Not sure if this is related, but started to notice very brief moments of headache-type pain; in different spots at different times. Checked BP with it at times and usually was not elevated. It is still occurring but lessening now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Pruritus, Pyrexia, Rash, Somnolence — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: 2/25 was very sleepy; slept most of the day; fever between 100 and 101; weakness. 2/26 was better but not back to normal. Today, 2/27, noticed mild rash and itching today, 2/27; got shot 2/24 in the evening. Otherwise pretty normal today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Injection site rash — Feeling: GoodFree text: COVID ARM rash bigger than yesterday. About 5X4.5 a few inches below injection site. Had COVID ARM after first shot, too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash same size as yesterday; slightly faded; still mildly itchy. I do not know anyone else who got COVID Arm twice. Since this was worse than after 1st, I need to know what will happen if I get Moderna booster when it is ready/needed. Or, should I switch to Pfizer?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction, Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash starting to fade; still a bit itchy. Since "COVID Arm" was worse after 2nd shot (now lasting 4 days and not gone, larger than after 1st) than it was after 1st shot (lasted 2 days and smaller), fear what might happen if get Moderna booster. Can I switch to Pfizer? We need to know.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — day 7, dose 2Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-03-31
Survey response — day 35, dose 2MedDRA: Pre-existing disease, Vaccine positive rechallenge — Feeling: GoodFree text: After 1st shot, had lump form on joint of one finger - arthritic bump? Now after 2nd shot, same thing on a different finger. Never had these before. Don't know if it is an arthritic thing or something else, or if it is related to the shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-05-26
- 2021-08-25
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2021-11-12
Dose 3 — Moderna
- 2022-02-24
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2022-04-22
Dose 4 — Moderna
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pruritus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Was itchy off and on at sight in the first 24 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
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2022-06-03
Survey response — day 42, dose 4MedDRA: Abdominal discomfort, Abdominal distension, Abdominal pain, Diarrhoea — Feeling: FairFree text: Flare-up of intestinal distress - diarrhea, bloating, abdominal pain. I do not know if it related to the vaccine, or to more chronic SIBO and/or IBS.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
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2022-09-12
Dose 5 — Moderna
- 2022-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-12 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Today is Day 12 - new itching and large red circle about 2.5" in diameter around injection site.
Release 3 — day 14, dose 1
Symptoms: Reported at signup: Had Covid Arm, delayed cutaneous hypersensitivity, 12th Day, with day of shot as Day 1. Itchy, red rash 3 diameter. Faded after ~36 hours. Recommendations are get 2nd in other arm, but had lymph node removed in other arm. ???
Release 4 — day 21, dose 1
Symptoms: Had delayed cutaneous hypersensitivity 10 days after shot. On 5th Day, might have reported a lump on join on pinky which allergist told me it could be an inflammatory reaction. NEWER: Yesterday, 3 wks after, knee & hip hurt a lot; felt arthritic. cut off by CDC
Release 4 — day 28, dose 1
Symptoms: Not sure if this is related, but started to notice very brief moments of headache-type pain; in different spots at different times. Checked BP with it at times and usually was not elevated. It is still occurring but lessening now.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 2/25 was very sleepy; slept most of the day; fever between 100 and 101; weakness. 2/26 was better but not back to normal. Today, 2/27, noticed mild rash and itching today, 2/27; got shot 2/24 in the evening. Otherwise pretty normal today.
Systemic reaction (other): COVID ARM rash bigger than yesterday. About 5X4.5 a few inches below injection site. Had COVID ARM after first shot, too.
Systemic reaction (other): Rash same size as yesterday; slightly faded; still mildly itchy. I do not know anyone else who got COVID Arm twice. Since this was worse than after 1st, I need to know what will happen if I get Moderna booster when it is ready/needed. Or, should I switch to Pfizer?
Systemic reaction (other): Rash starting to fade; still a bit itchy. Since "COVID Arm" was worse after 2nd shot (now lasting 4 days and not gone, larger than after 1st) than it was after 1st shot (lasted 2 days and smaller), fear what might happen if get Moderna booster. Can I switch to Pfizer? We need to know.
Release 6 — day 35, dose 2
Symptoms: After 1st shot, had lump form on joint of one finger - arthritic bump? Now after 2nd shot, same thing on a different finger. Never had these before. Don't know if it is an arthritic thing or something else, or if it is related to the shots.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Was itchy off and on at sight in the first 24 hours.
Release 11 — day 42, dose 4
Symptoms: Flare-up of intestinal distress - diarrhea, bloating, abdominal pain. I do not know if it related to the vaccine, or to more chronic SIBO and/or IBS.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dermatitis allergic | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenectomy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Type IV hypersensitivity reaction | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release