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34B-24610-31063

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
300 / GA
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-07
    Registered in v-safe
  3. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-08
    Dose 2 — Moderna
  5. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Psoriasis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches
    Free text: Psoriasis flare
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Fever · Joint pains, Fatigue or tiredness
    Adult check-in
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness
    Free text: Stomach pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Joint pains, Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-10
    Survey response — 3 months, dose 2
    MedDRA: Asthma, Fatigue, Office visit, Pre-existing disease, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Increased fatigue,continued persistent swelling in my legs and feet. Increased asthma symptom, increase in body aches. Unfortunately I have no idea if this is caused by the vaccine shots. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-10
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-07-19
  16. 2022-04-08
    Survey response — 12 months, dose 2
    MedDRA: Petechiae, Pre-existing disease, Psoriasis — Feeling: Good
    Free text: The psoriasis I've had since about 2002 has suddenly spread over a large area of my body. I had a psoriasis flare after my covid vaccine. It mostly cleared then came back with a vengeance. I've also begun to have blood spots appear on my skin.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Psoriasis flare

2021-04-13

Systemic reaction (other): Stomach pain

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Increased fatigue,continued persistent swelling in my legs and feet. Increased asthma symptom, increase in body aches. Unfortunately I have no idea if this is caused by the vaccine shots.
Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: The psoriasis I've had since about 2002 has suddenly spread over a large area of my body. I had a psoriasis flare after my covid vaccine. It mostly cleared then came back with a vengeance. I've also begun to have blood spots appear on my skin.

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
HCVOOffice visit ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPetechiae · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPsoriasis · · ✓
SDSwelling ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROPsoriasis ✓ ✓ ✓

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