4MP-40118-47225
1 vaccination
7 coded responses
12 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 851 / AZ
- Registered
- 2020-12-31
- Relationship
- Self
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Pruritus — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Itchy sore palms of my handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — day 7, dose 1MedDRA: Contusion, Injection site pruritus, Pruritus, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Severe itching on injection site and on the back of my head with welts. I've been itching for over a week now. My arm is bruised from the intense itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — day 14, dose 1MedDRA: Injection site rash, Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe itching. Rash at injection site, back of head, down back and on arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-21
Survey response — day 21, dose 1MedDRA: Pruritus, Psoriasis, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Itchiness and rashes. I had a doctors visit to address it. I got a steroid shot and a topical steroid cream. I was diagnosed with psoriasis after the vaccine flared it up (this was the first time in my life)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-28
Survey response — day 28, dose 1MedDRA: Medical observation, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash. Visited dermatologist. Was prescribed strongest steroids possible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-06
- 2021-02-13
- 2021-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna |
Call center
4 call center cases
4 unsuccessful
VAERS report filed, before or during a call: 4
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy sore palms of my hands
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 1 — day 7, dose 1
Systemic reaction (other): Severe itching on injection site and on the back of my head with welts. I've been itching for over a week now. My arm is bruised from the intense itching.
Release 2 — day 14, dose 1
Symptoms: Severe itching. Rash at injection site, back of head, down back and on arms.
Release 2 — day 21, dose 1
Symptoms: Itchiness and rashes. I had a doctors visit to address it. I got a steroid shot and a topical steroid cream. I was diagnosed with psoriasis after the vaccine flared it up (this was the first time in my life)
Release 2 — day 28, dose 1
Symptoms: Rash. Visited dermatologist. Was prescribed strongest steroids possible.
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 | Injection site rash | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Psoriasis | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release