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55E-22749-31132

3 vaccinations 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
704 / LA
Registered
2022-01-26
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-04-19
    Dose 2 — Moderna
  3. 2022-01-10
    Dose 3 — Moderna
  4. 2022-01-26
    Registered in v-safe
  5. 2022-01-26
    Survey response — day 14, dose 3
    MedDRA: Rash — Feeling: Good
    Free text: Two weeks after booster rashes appeared all over. Not all at once. Ex. Starts on arm. Goes away. Then leg. Then goes away. Then back. Etc. this has been going on for 3 days now.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-31
    Survey response — day 21, dose 3
    MedDRA: Rash — Feeling: Good
    Free text: Nothing new or worsening. But Rashes are appearing less and less after a week with the exception being when I get out of shower. But overall they don't appear as often of last as long.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-02-07
    Survey response — day 28, dose 3
    MedDRA: Frustration tolerance decreased, Pre-existing disease, Rash, Skin irritation — Feeling: Good
    Free text: Still won't say worsening. More frustration. Rashes aren't as bad but every once in a while get a "nice" flare up. More irritating than anything.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna No
22021-04-19Moderna No
32022-01-10Moderna No

Free text

Release 11 — day 14, dose 3

2022-01-26

Symptoms: Two weeks after booster rashes appeared all over. Not all at once. Ex. Starts on arm. Goes away. Then leg. Then goes away. Then back. Etc. this has been going on for 3 days now.

Release 11 — day 21, dose 3

2022-01-31

Symptoms: Nothing new or worsening. But Rashes are appearing less and less after a week with the exception being when I get out of shower. But overall they don't appear as often of last as long.

Release 11 — day 28, dose 3

2022-02-07

Symptoms: Still won't say worsening. More frustration. Rashes aren't as bad but every once in a while get a "nice" flare up. More irritating than anything.

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

FieldPreferred term2021-092023-042024-11
SDFrustration tolerance decreased · · ✓
SDPre-existing disease · · ✓
SDRash · · ✓
SDSkin irritation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release