6XK-49855-29455
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 860 / AZ
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-25
Dose 1 — Moderna
-
2020-12-27
Registered in v-safe
- 2020-12-27
- 2020-12-29
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-01
-
2021-01-10
Survey response — day 14, dose 1MedDRA: Erythema, Rash, Rash papular — Feeling: GoodFree text: I started to have a weird rash on my abdomen and back and chest. It does not itch much just sometime. But it's like dime size to dollar size and not fully circular. It's a bit raised and reddish it started about one week after and I still havMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
-
2021-01-20
Dose 2 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash pruritic — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The torso rash I have had since 5-6 days after the first shot seems to be flaring up again and getting more pronounced and itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Office visit, Pityriasis — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: The dermatologist said that I have pityriasis and that it is likely in response to the vaccine. I developed it 5-6 days after the first shot. My left shoulder where I had the first shot still hurts but the second shot in the right shoulder does not hurt at all. Weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Ive have the rash since day 5-6 post first injection and its still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-23
- 2021-07-21
- 2022-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-25 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Free text
Release 1 — day 14, dose 1
Symptoms: I started to have a weird rash on my abdomen and back and chest. It does not itch much just sometime. But it's like dime size to dollar size and not fully circular. It's a bit raised and reddish it started about one week after and I still hav
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): The torso rash I have had since 5-6 days after the first shot seems to be flaring up again and getting more pronounced and itchy.
Systemic reaction (other): The dermatologist said that I have pityriasis and that it is likely in response to the vaccine. I developed it 5-6 days after the first shot. My left shoulder where I had the first shot still hurts but the second shot in the right shoulder does not hurt at all. Weird.
Release 2 — day 7, dose 2
Systemic reaction (other): Ive have the rash since day 5-6 post first injection and its still there.
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pityriasis | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release