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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

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-31
    Dose 2 — Moderna
  3. 2021-12-30
    Dose 3 — Moderna
  4. 2021-12-31
    Registered in v-safe
  5. 2021-12-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free 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 minutes
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Sensory disturbance — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches
    Free 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
  7. 2022-01-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Free text: The whoosh in my head comes and goes
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  9. 2022-01-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2022-01-06
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2022-01-13
    Survey response — day 14, dose 3
    MedDRA: Pruritus, Urticaria — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12021-03-03Moderna No
22021-03-31Moderna No
32021-12-30Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-31

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

2022-01-01

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,.

2022-01-02

Systemic reaction (other): The whoosh in my head comes and goes

Release 10 — day 14, dose 3

2022-01-13

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

FieldPreferred term2021-092023-042024-11
SDPruritus · · ✓
SDUrticaria · · ✓
SROPruritus · · ✓
SROSensory disturbance · · ✓
SROSkin discolouration · · ✓
SROTinnitus · · ✓

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