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6JF-11093-31413

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
972 / OR
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Survey response — day 28, dose 1
    MedDRA: Chills, Injection site reaction, Injection site swelling, Injection site warmth, Nausea, Rash erythematous, Rash pruritic — Feeling: Good
    Free text: 10 hrs after the vaccine I felt very nauseous for 3 hours and had chills. 9 days after I got a red, hot, and itchy swollen rash on my arm about 5 below injection site. It grew and remained for a week until it gradually went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-24
    Dose 2 — Moderna
  5. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Chills, Fatigue, Headache, Immunisation reaction, Pyrexia, Rash — Feeling: Good · Be unable to work
    Free text: About 10 hours after the 2nd dose I started developing that covid arm rash at injection site. The next day I felt tired and had a headache. 2nd night I had a fever and chills for about 4 hours. The rash lasted a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-02-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna

Free text

Release 4 — day 28, dose 1

2021-02-23

Symptoms: 10 hrs after the vaccine I felt very nauseous for 3 hours and had chills. 9 days after I got a red, hot, and itchy swollen rash on my arm about 5 below injection site. It grew and remained for a week until it gradually went away.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: About 10 hours after the 2nd dose I started developing that covid arm rash at injection site. The next day I felt tired and had a headache. 2nd night I had a fever and chills for about 4 hours. The rash lasted a week.

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓

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