3WP-16315-22184
2 vaccinations
12 coded responses
18 check-ins
12 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 032 / NH
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-20
Dose 1 — Moderna
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2021-05-21
Registered in v-safe
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2021-05-21
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Pruritus, Urticaria — Feeling: Fair · Site: Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Hives over both arms and itching tingling pains on my arms and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The rash has spread down both arms and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: My hives on my arms and hands feel like pins and needles. They are very uncomfortable and look like they are filling up with fluidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: My hives all down my arms & hands are stinging agaiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Urticaria — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives down my hands & arms. Urgent care prescribed steroids and a histamine blockerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-27
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My arms still have hives, the steroids have helped, but I went into the sun for about 20 minutes today and they started stinging and swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
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2021-06-10
Survey response — day 21, dose 1MedDRA: Rash macular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I went in the sun over the weekend and got bloody spots all over my shins from being in the sun.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-17
Survey response — day 28, dose 1MedDRA: Petechiae, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: After going in the sun, the petechiae got pretty extreme. The hives on my arms from being in the sun got raised in a couple of them looked as if they were blood filledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-17
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2021-06-24
Dose 2 — Moderna
- 2021-06-24
- 2021-06-24
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2021-06-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
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2021-06-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-28
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2021-06-29
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Im very congestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Survey response — day 7, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Still very congestedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-23
Survey response — 6 months, dose 2MedDRA: Henoch-Schonlein purpura, Office visit, Photosensitivity reaction — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I still continue to be allergic to the sun. I went on vacation in November and got bloody spots all over my ankles and legs and hands. This has never happened to me prior to the Covid vaccine · Healthcare visit (other): Dr OfficeMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-20 | Moderna | |
| 2 | 2021-06-24 | Moderna | No |
Call center
5 call center cases
5 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Hives over both arms and itching tingling pains on my arms and legs
Systemic reaction (other): The rash has spread down both arms and hands
Systemic reaction (other): My hives on my arms and hands feel like pins and needles. They are very uncomfortable and look like they are filling up with fluid
Systemic reaction (other): My hives all down my arms & hands are stinging agai
Systemic reaction (other): Hives down my hands & arms. Urgent care prescribed steroids and a histamine blocker
Release 8 — day 7, dose 1
Systemic reaction (other): My arms still have hives, the steroids have helped, but I went into the sun for about 20 minutes today and they started stinging and swelling
Release 9 — day 21, dose 1
Symptoms: I went in the sun over the weekend and got bloody spots all over my shins from being in the sun.
Release 9 — day 28, dose 1
Symptoms: After going in the sun, the petechiae got pretty extreme. The hives on my arms from being in the sun got raised in a couple of them looked as if they were blood filled
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Im very congested
Release 9 — day 7, dose 2
Systemic reaction (other): Still very congested
Release 10 — 6 months, dose 2
Symptoms: I still continue to be allergic to the sun. I went on vacation in November and got bloody spots all over my ankles and legs and hands. This has never happened to me prior to the Covid vaccine
Healthcare visit (other): Dr Office
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Henoch-Schonlein purpura | · | · | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Photosensitivity reaction | · | · | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release