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3CW-15256-03130

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
906 / CA
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness, Itching · None
    Adult check-in
  4. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Sensitive skin — Feeling: Good
    Free text: Redness that expanded from 2 circle below shot site to 6 oval below site; now has mainly faded but can see shadow of previously red area. Was sensitive to touch (like tickle), very itchy, & warm when red; now not itchy, warm or sensitive to touch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-16
    Dose 2 — Moderna
  7. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  8. 2021-03-02
    Survey response — day 14, dose 2
    MedDRA: Adverse reaction, Erythema, Rash — Feeling: Good
    Free text: The day after my 2nd shot the Covid arm rash started. However it spread over several days farther down my arm than last time, fading from the top first, but never itched! In a week the redness was gone altho a shadow stayed around for 1 more week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Seasonal allergies
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-16Moderna

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Redness that expanded from 2 circle below shot site to 6 oval below site; now has mainly faded but can see shadow of previously red area. Was sensitive to touch (like tickle), very itchy, & warm when red; now not itchy, warm or sensitive to touch.

Release 4 — day 14, dose 2

2021-03-02

Symptoms: The day after my 2nd shot the Covid arm rash started. However it spread over several days farther down my arm than last time, fading from the top first, but never itched! In a week the redness was gone altho a shadow stayed around for 1 more week.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Seasonal allergies

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
SDAdverse reaction ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRash ✓ ✓ ✓
SDSensitive skin ✓ ✓ ✓

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