64N-65928-72588
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 799 / TX
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Registered in v-safe
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2021-01-19
Dose 1 — Moderna
- 2021-01-19
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2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-26
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Went to urgent care today. Arm was getting much better but this am woke up to red sore itchy and rash on injection site. They advised my to take Tylenol Motrin zinc vitamin c and pedialite before I get the next shot. Have read on websites not to take anything before I get the second shot. Please advise. Was told to take Claritin for itchy red spot at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid arm. Putting ice on arm every hour. Do I have to take second shot in other arm?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Had covid arm after six days the first shot. Have covid arm after only two days second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Immunisation reaction, Pruritus — Feeling: GoodFree text: Arm gets itchy where I had covid armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 35, dose 2MedDRA: Immunisation reaction, Pruritus — Feeling: FairFree text: Arms itching where I had covid arm after moderna vaccinrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 42, dose 2MedDRA: Discomfort, Pruritus, Rash, Rash macular, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had covid arm on both arms. Had first shot in left arm had second shot right arm. Still have spots on both arms and itch. It is very uncomfortable. There are some times very uncomfortable to wear shirt with sleeves.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-08-26
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2021-11-07
Dose 3 — Moderna
- 2022-02-24
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Went to urgent care today. Arm was getting much better but this am woke up to red sore itchy and rash on injection site. They advised my to take Tylenol Motrin zinc vitamin c and pedialite before I get the next shot. Have read on websites not to take anything before I get the second shot. Please advise. Was told to take Claritin for itchy red spot at injection site.
Release 3 — day 14, dose 1
Symptoms: Covid arm. Putting ice on arm every hour. Do I have to take second shot in other arm?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had covid arm after six days the first shot. Have covid arm after only two days second shot
Release 6 — day 28, dose 2
Symptoms: Arm gets itchy where I had covid arm
Release 6 — day 35, dose 2
Symptoms: Arms itching where I had covid arm after moderna vaccinr
Release 7 — day 42, dose 2
Symptoms: Had covid arm on both arms. Had first shot in left arm had second shot right arm. Still have spots on both arms and itch. It is very uncomfortable. There are some times very uncomfortable to wear shirt with sleeves.
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 | Discomfort | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release