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3BD-14112-95658

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
761 / TX
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: Headache, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Mild headache 15 minutes after injection; lasted less than an hour
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pain, Poor quality sleep — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Fatigue could be from not sleeping well; arm hurt so badly that I woke up all night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Have been itching & small bumps appear on back when itching. Not sure if related to shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Moderate itching everywhere with mild rash (reaction I have to hydrocodone); antihistamine helped but made me very tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-12
    Survey response — day 14, dose 1
    MedDRA: Pruritus, Rash, Rash vesicular, Scab, Skin weeping — Feeling: Good
    Free text: Itchy, weeping rash on arms & legs; small red bumps filled with fluid that open & drain upon scratching. The rash will eventually scab over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Dose 2 — Moderna
  13. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): Mild headache 15 minutes after injection; lasted less than an hour

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Fatigue could be from not sleeping well; arm hurt so badly that I woke up all night

2021-03-29

Systemic reaction (other): Have been itching & small bumps appear on back when itching. Not sure if related to shot.

2021-03-30

Systemic reaction (other): Moderate itching everywhere with mild rash (reaction I have to hydrocodone); antihistamine helped but made me very tired

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Itchy, weeping rash on arms & legs; small red bumps filled with fluid that open & drain upon scratching. The rash will eventually scab over.

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
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash vesicular ✓ ✓ ✓
SDScab ✓ ✓ ✓
SDSkin weeping ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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