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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

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free 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
  11. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  12. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-24
    Dose 2 — Moderna
  15. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Fair · Chills
    Adult check-in
  16. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Had covid arm after six days the first shot. Have covid arm after only two days second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  22. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  23. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Survey response — day 28, dose 2
    MedDRA: Immunisation reaction, Pruritus — Feeling: Good
    Free text: Arm gets itchy where I had covid arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-31
    Survey response — day 35, dose 2
    MedDRA: Immunisation reaction, Pruritus — Feeling: Fair
    Free text: Arms itching where I had covid arm after moderna vaccinr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Discomfort, Pruritus, Rash, Rash macular, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  28. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-07
    Dose 3 — Moderna
  31. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-24Moderna
32021-11-07Moderna No

Free text

Release 2 — day 7, dose 1

2021-01-26

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

2021-02-02

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

2021-02-26

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

2021-03-24

Symptoms: Arm gets itchy where I had covid arm

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Arms itching where I had covid arm after moderna vaccinr

Release 7 — day 42, dose 2

2021-04-07

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

FieldPreferred term2021-092023-042024-11
SDDiscomfort ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROImmunisation reaction ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓

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