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
-
2021-03-11
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
-
2021-04-08
Dose 2 — Moderna
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Psoriasis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body achesFree text: Psoriasis flareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Fever · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessFree text: Stomach painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-15
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-20
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2021-07-10
Survey response — 3 months, dose 2MedDRA: Asthma, Fatigue, Office visit, Pre-existing disease, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-19
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2022-04-08
Survey response — 12 months, dose 2MedDRA: Petechiae, Pre-existing disease, Psoriasis — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Psoriasis flare
Systemic reaction (other): Stomach pain
Release 9 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Petechiae | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Psoriasis | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Psoriasis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release