6WP-14405-50325
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-14
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-04
- 2021-02-09
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pain on opposite arm occurring 8 days after vaccination lasting for 3 days but less severe than in three injected arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-13
- 2021-03-18
- 2021-03-25
-
2021-05-17
Survey response — 3 months, dose 2MedDRA: Erythema, Pruritus — Feeling: FairFree text: Itching and redness on my face for over a month.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Eczema, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: About a month after my second vaccination I developed severe eczema on my forehead and neck. It has been an ongoing problem that recently improved. I also developed a different type of eczema on my hand and Im allergic to all types of bandages. · Healthcare visit (other): Dermatologist officeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 2
Symptoms: Pain on opposite arm occurring 8 days after vaccination lasting for 3 days but less severe than in three injected arm.
Release 8 — 3 months, dose 2
Symptoms: Itching and redness on my face for over a month.
Release 9 — 6 months, dose 2
Symptoms: About a month after my second vaccination I developed severe eczema on my forehead and neck. It has been an ongoing problem that recently improved. I also developed a different type of eczema on my hand and Im allergic to all types of bandages.
Healthcare visit (other): Dermatologist office
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Eczema | ✓ | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release