3VN-17432-34437
4 vaccinations
3 coded responses
50 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 806 / CO
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-02
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-14
-
2021-10-23
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-04-17
Dose 4 — Moderna
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
-
2022-05-01
Survey response — day 14, dose 4MedDRA: Erythema, Pruritus, Rash, Rash macular — Feeling: GoodFree text: I developed a rash within a few days of the 2nd booster shot, the first type of extended reaction I have had with any of the shots so far. I was advised it is an allergic-type level reaction to the shot. Itchy, red spots turning into blotches.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-08
-
2022-05-15
Survey response — day 28, dose 4MedDRA: Rash, Rash pruritic, Skin discolouration, Urticaria — Feeling: FairFree text: Rash, which appears like hives/welts all over seemed to have increased over the last week. Sore, itchy. About 3 dozen that come and go. Takes about 10 days from first sensation to bloom to about quarter size, darkening, then going away.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
-
2022-05-29
Survey response — day 42, dose 4MedDRA: Rash, Urticaria — Feeling: GoodFree text: Welt/rash continues...seems to start over in areas impactedMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
- 2022-10-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-17 | Moderna | No |
Free text
Release 11 — day 14, dose 4
Symptoms: I developed a rash within a few days of the 2nd booster shot, the first type of extended reaction I have had with any of the shots so far. I was advised it is an allergic-type level reaction to the shot. Itchy, red spots turning into blotches.
Release 11 — day 28, dose 4
Symptoms: Rash, which appears like hives/welts all over seemed to have increased over the last week. Sore, itchy. About 3 dozen that come and go. Takes about 10 days from first sensation to bloom to about quarter size, darkening, then going away.
Release 11 — day 42, dose 4
Symptoms: Welt/rash continues...seems to start over in areas impacted
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 | Erythema | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash macular | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release