377-14183-64277
5 vaccinations
5 coded responses
56 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: I have a rash on my upper arm. On the arm that was vaccinated but about three inches below the vaccination site. I first noticed it today but Im uncertain if when it developed. Ive taken a photo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-23
-
2021-02-28
Dose 2 — Moderna
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, HeadacheAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Peripheral swelling, Rash pruritic — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Red, swollen, itchy rash on same arm as injection site on upper arm but closer to my elbow. I had this same reaction with my first shot and it eventually went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Rash on same arm but in the area just above my inner elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-05-30
- 2021-08-29
-
2021-09-19
Dose 3 — Moderna
- 2021-10-25
- 2021-10-31
- 2021-12-19
-
2022-03-20
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I had a cold. No fever, aches or chest congestion. Did not test.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Dose 4 — Moderna
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-19
- 2022-10-18
-
2022-10-24
Dose 5 — ModernaCo-administered: Flu
-
2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2023-01-23
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-09-19 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-24 | Moderna | Flu |
Free text
Release 3 — day 14, dose 1
Symptoms: I have a rash on my upper arm. On the arm that was vaccinated but about three inches below the vaccination site. I first noticed it today but Im uncertain if when it developed. Ive taken a photo.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Red, swollen, itchy rash on same arm as injection site on upper arm but closer to my elbow. I had this same reaction with my first shot and it eventually went away.
Systemic reaction (other): Rash on same arm but in the area just above my inner elbow.
Release 11 — 6 months, dose 3
Symptoms: I had a cold. No fever, aches or chest congestion. Did not test.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Congestion
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 | Nasopharyngitis | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release