28H-28217-83598
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 1MedDRA: Erythema, Pruritus, Skin warm — Feeling: GoodFree text: Arm that had the vaccination developed a large red area 6x3 across my upper arm, very itchy! It was also very warm to touch but didnt hurt when touched. Began on day 8, still visible but less and not so itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: Pain in my toe jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint painsAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint painsAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-07
-
2021-03-08
Survey response — day 7, dose 2MedDRA: Pain — Feeling: Good · Site: Itching · Joint painsFree text: Had some strange prickly feelings on my back and in my toes off and on during the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 14, dose 2MedDRA: Burning sensation, Herpes zoster, Pain — Feeling: GoodFree text: The spot where I have had two episodes of shingles started to sting and burn last week, just like the beginning of the shingles episodes, but nothing can be seen there. I have had both the Zoster and Shingrix vaccines - shingrix in 2019.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-06-01
- 2021-08-30
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Arm that had the vaccination developed a large red area 6x3 across my upper arm, very itchy! It was also very warm to touch but didnt hurt when touched. Began on day 8, still visible but less and not so itchy.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in my toe joints
Release 5 — day 7, dose 2
Systemic reaction (other): Had some strange prickly feelings on my back and in my toes off and on during the day
Release 5 — day 14, dose 2
Symptoms: The spot where I have had two episodes of shingles started to sting and burn last week, just like the beginning of the shingles episodes, but nothing can be seen there. I have had both the Zoster and Shingrix vaccines - shingrix in 2019.
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release