48R-26418-14987
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
-
2021-04-16
Survey response — day 14, dose 1MedDRA: Rash, Rash erythematous — Feeling: GoodFree text: I experienced a bright red painful rash on the back sides of both hands, as if they had been burned. I am not sure if this is a Covid vaccine related issue or not. I am taking an antibiotic that I started on March 28, 2021, so it could be sunburn.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
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
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-06
- 2021-05-12
- 2021-05-19
-
2021-05-26
Survey response — day 28, dose 2MedDRA: Chest pain, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pain, radiating down left arm, that occurred 8 and 10days after my first vaccine. I went to the emergency room the second time it occurred, and all of the tests there and second test by a cardiologist have shown no cardiac issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-06-09
- 2021-07-30
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Eczema nummular — Feeling: GoodFree text: Nummular dermatitisMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Dose 3 — Moderna
- 2022-02-09
- 2022-04-30
-
2022-05-22
Dose 4 — Moderna
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-28
-
2022-06-12
Survey response — day 21, dose 4MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have been exposed to COVID and have a runny nose, chest congestion, cough, and fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-06-19
- 2022-06-26
- 2022-11-20
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-05-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 14, dose 1
Symptoms: I experienced a bright red painful rash on the back sides of both hands, as if they had been burned. I am not sure if this is a Covid vaccine related issue or not. I am taking an antibiotic that I started on March 28, 2021, so it could be sunburn.
Release 8 — day 28, dose 2
Symptoms: Chest pain, radiating down left arm, that occurred 8 and 10days after my first vaccine. I went to the emergency room the second time it occurred, and all of the tests there and second test by a cardiologist have shown no cardiac issues.
Release 10 — 6 months, dose 2
Symptoms: Nummular dermatitis
Release 12 — day 21, dose 4
Symptoms: I have been exposed to COVID and have a runny nose, chest congestion, cough, and fatigue
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eczema nummular | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release