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
-
2021-01-19
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Sensitive skin — Feeling: GoodFree 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
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-24
-
2021-03-02
Survey response — day 14, dose 2MedDRA: Adverse reaction, Erythema, Rash — Feeling: GoodFree 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
- 2021-03-09
- 2021-03-16
- 2021-03-30
- 2021-08-22
-
2022-02-18
Survey response — 12 months, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Seasonal allergiesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Free text
Release 3 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release