5VK-30203-04796
4 vaccinations
9 coded responses
47 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Registered in v-safe
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2021-03-06
Dose 1 — Moderna
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
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2021-03-20
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site swelling, Pruritus — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Eight days after the first vaccination. I developed rash and swelling at the injection site. Very itch. Today I still feel a little bit itchiness. The area is still swelling a little bit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-27
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Pruritus — Feeling: GoodFree text: The itchy COVID arm on the left arm has improved. But I still feel itchy a little bit. There are still some itchy spots on the left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Dose 2 — Moderna
- 2021-04-03
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Joint pains, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · None · Be unable to workAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · None · Be unable to work or attend schoolAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Joint pains · Be unable to workAdult check-in
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-02
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2021-11-09
Dose 3 — Moderna
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling, Itching · NoneAdult check-in
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2021-11-16
Health check-in — day 7, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-23
Health check-in — day 14, dose 3Feeling: FairFree text: Skin rash on the injection site.Adult check-in · check-in free text available
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2021-11-30
Survey response — day 21, dose 3MedDRA: Rash — Feeling: GoodFree text: Skin rash on the left arm.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — day 28, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Itchy left arm sometimes.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
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2021-12-21
Survey response — day 42, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Skin allergy.MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Survey response — 3 months, dose 3MedDRA: Rash — Feeling: GoodFree text: Skin rashMedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
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2022-04-14
Dose 4 — Moderna
- 2022-04-15
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Feeling hotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-21
Health check-in — day 7, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-04-28
- 2022-05-05
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2022-05-12
Survey response — day 28, dose 4MedDRA: Pruritus — Feeling: GoodFree text: Itchy skin.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
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2022-05-26
Survey response — day 42, dose 4MedDRA: Rash, Rash pruritic — Feeling: FairFree text: Skin rash and itchy in the right arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 14, dose 1
Symptoms: Eight days after the first vaccination. I developed rash and swelling at the injection site. Very itch. Today I still feel a little bit itchiness. The area is still swelling a little bit.
Release 6 — day 21, dose 1
Symptoms: The itchy COVID arm on the left arm has improved. But I still feel itchy a little bit. There are still some itchy spots on the left arm.
Release 10 — day 21, dose 3
Symptoms: Skin rash on the left arm.
Release 10 — day 28, dose 3
Symptoms: Itchy left arm sometimes.
Release 10 — day 42, dose 3
Symptoms: Skin allergy.
Release 11 — 3 months, dose 3
Symptoms: Skin rash
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Feeling hot
Release 11 — day 28, dose 4
Symptoms: Itchy skin.
Release 11 — day 42, dose 4
Symptoms: Skin rash and itchy in the right arm.
Release 12 — day 14, dose 3
Symptoms: Skin rash on the injection site.
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release