287-26403-64456
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 940 / CA
- Registered
- 2021-05-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Dose 2 — Moderna
-
2021-05-15
Registered in v-safe
-
2021-05-15
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-22
-
2021-05-29
Survey response — day 21, dose 2MedDRA: Rash — Feeling: FairFree text: Minor Rashes on my legs. I had bad rashes on my body after the 1st dose and lasted about four weeks; then it was time for 2nd dose which I had some rashes after but not as bad as the first time. Not sure if this rash is related to the 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-12
- 2021-06-21
-
2021-08-11
Survey response — 3 months, dose 2MedDRA: Arthralgia, Office visit, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Since my second shot of vaccine, Ive been having knees pain on both knees! I never had knees problems before. I knew it was from the vaccine and thought the pain would go away just like my rashes from the first shot. But I still have pain. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 21, dose 2
Symptoms: Minor Rashes on my legs. I had bad rashes on my body after the 1st dose and lasted about four weeks; then it was time for 2nd dose which I had some rashes after but not as bad as the first time. Not sure if this rash is related to the 2nd dose.
Release 9 — 3 months, dose 2
Symptoms: Since my second shot of vaccine, Ive been having knees pain on both knees! I never had knees problems before. I knew it was from the vaccine and thought the pain would go away just like my rashes from the first shot. But I still have pain.
Healthcare visit (other): Office visit
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 | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release