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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

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-11
    Dose 2 — Moderna
  12. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-25
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  21. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-17
    Survey response — 3 months, dose 2
    MedDRA: Erythema, Pruritus — Feeling: Fair
    Free text: Itching and redness on my face for over a month.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-12
    Survey response — 6 months, dose 2
    MedDRA: Eczema, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 office
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-12
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-18

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-11Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-25

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

2021-05-17

Symptoms: Itching and redness on my face for over a month.

Release 9 — 6 months, dose 2

2021-08-12

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDEczema ✓ · ✓
SDErythema ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDPruritus ✓ ✓ ✓

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