43Z-23942-66589
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 890 / NV
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
- 2021-03-08
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2021-03-09
Dose 2 — Moderna
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash has now spread to the right arm when it was only the left before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash still hasn't gone away sadly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
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2021-03-16
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-25
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2021-04-08
Survey response — day 28, dose 2MedDRA: Office visit, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have said the Rash yet NO ONE calls to do anything about it! This is pointless unless you ACTUALLY address the issues with the people. This will be the last one i do PERIOD. · Healthcare visit (other): My primary. Which is at a loss with it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-20
Survey response — day 42, dose 2MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I can't get rid of the rash that is now on both arms. Even my doctor can't. Is there anything on your guys end that can? Cause its getting to be a bit much! · Healthcare visit (other): In office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-08
Survey response — 3 months, dose 2MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: STILL have the bad rash and has gotten worse! · Healthcare visit (other): In office. Next is a dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-04
- 2021-09-07
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The rash has now spread to the right arm when it was only the left before.
Systemic reaction (other): Rash still hasn't gone away sadly.
Release 7 — day 28, dose 2
Symptoms: I have said the Rash yet NO ONE calls to do anything about it! This is pointless unless you ACTUALLY address the issues with the people. This will be the last one i do PERIOD.
Healthcare visit (other): My primary. Which is at a loss with it.
Release 7 — day 42, dose 2
Symptoms: I can't get rid of the rash that is now on both arms. Even my doctor can't. Is there anything on your guys end that can? Cause its getting to be a bit much!
Healthcare visit (other): In office visit
Release 8 — 3 months, dose 2
Symptoms: STILL have the bad rash and has gotten worse!
Healthcare visit (other): In office. Next is a dermatologist
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release