5J2-30895-85853
3 vaccinations
4 coded responses
7 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 851 / AZ
- Registered
- 2021-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-31
Dose 2 — Moderna
-
2021-12-30
Dose 3 — Moderna
-
2021-12-31
Registered in v-safe
-
2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Skin discolouration — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: After the first vaccine through out the months sometimes I get a pink flush on my arms from large areas to small patches, it is not a rash but like a stain that lasts a few minutes, some times it itches but it goes away in a few minutesMedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Sensory disturbance — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body achesFree text: Yes, yesterday I had this whoosh in my head. I had it yesterday since I woke up it lasted all day and through the night specially when I turned or moved my head, I started to drink a lot of water, like 4 bottles of water and that seamed to help,.MedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: The whoosh in my head comes and goesMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-01-04
- 2022-01-06
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2022-01-13
Survey response — day 14, dose 3MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: Yesterday I had hives specially in the neck area under my chin and a lot of itching.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | No |
| 2 | 2021-03-31 | Moderna | No |
| 3 | 2021-12-30 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): After the first vaccine through out the months sometimes I get a pink flush on my arms from large areas to small patches, it is not a rash but like a stain that lasts a few minutes, some times it itches but it goes away in a few minutes
Systemic reaction (other): Yes, yesterday I had this whoosh in my head. I had it yesterday since I woke up it lasted all day and through the night specially when I turned or moved my head, I started to drink a lot of water, like 4 bottles of water and that seamed to help,.
Systemic reaction (other): The whoosh in my head comes and goes
Release 10 — day 14, dose 3
Symptoms: Yesterday I had hives specially in the neck area under my chin and a lot of itching.
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 | Pruritus | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Sensory disturbance | · | · | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release