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3DC-22678-94709

3 vaccinations 7 coded responses 8 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
800 / CO
Registered
2021-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Dose 1 — Moderna
  2. 2021-04-17
    Dose 2 — Moderna
  3. 2021-12-17
    Dose 3 — Moderna
  4. 2021-12-31
    Registered in v-safe
  5. 2021-12-31
    Survey response — day 14, dose 3
    MedDRA: Rash, Rash pruritic — Feeling: Fair
    Free text: Itchy rash on my face, neck, upper body (torso, arms, back, underarms,etc). Have had it for 72 hours so far.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-07
    Survey response — day 21, dose 3
    MedDRA: Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rash for a week straight. Very itchy. Shows up for 30-60 minutes, then disappears. Mostly upper body, but some lower body. Looks like an allergic reaction kind of rash.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-14
    Survey response — day 28, dose 3
    MedDRA: Condition aggravated, Pre-existing disease, Rash — Feeling: Poor
    Free text: Rashes show up across my body and then disappear after 30-60 minutes. Less itchy but getting bad flare ups.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-21
    Survey response — day 35, dose 3
    MedDRA: Rash pruritic — Feeling: Good
    Free text: Continued rash - appears for 30-60 minutes, then disappears. Very itchy too.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-28
    Survey response — day 42, dose 3
    MedDRA: Pruritus, Rash — Feeling: Fair
    Free text: Still itchy and rashy. This began exactly 2 weeks after the Moderna booster. I have never experienced problems with itchy or rashy skin before this.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-18
    Survey response — 3 months, dose 3
    MedDRA: Rash pruritic — Feeling: Fair
    Free text: Still having rashy/itchy symptoms. It shows up for 30-60minutes, disappears, and shows up in another place. Some days are better than others.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-06-17
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: COVID19
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-12-17
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna No
22021-04-17Moderna No
32021-12-17Moderna No

Free text

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Itchy rash on my face, neck, upper body (torso, arms, back, underarms,etc). Have had it for 72 hours so far.

Release 10 — day 21, dose 3

2022-01-07

Symptoms: Rash for a week straight. Very itchy. Shows up for 30-60 minutes, then disappears. Mostly upper body, but some lower body. Looks like an allergic reaction kind of rash.

Release 10 — day 28, dose 3

2022-01-14

Symptoms: Rashes show up across my body and then disappear after 30-60 minutes. Less itchy but getting bad flare ups.

Release 11 — day 35, dose 3

2022-01-21

Symptoms: Continued rash - appears for 30-60 minutes, then disappears. Very itchy too.

Release 11 — day 42, dose 3

2022-01-28

Symptoms: Still itchy and rashy. This began exactly 2 weeks after the Moderna booster. I have never experienced problems with itchy or rashy skin before this.

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: Still having rashy/itchy symptoms. It shows up for 30-60minutes, disappears, and shows up in another place. Some days are better than others.

Release 12 — 6 months, dose 3

2022-06-17

Symptoms: COVID19

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
SDCondition aggravated · · ✓
SDCOVID-19 · · ✓
SDPre-existing disease · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDRash pruritic · · ✓

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

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