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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

  1. 2020-12-25
    Dose 1 — Moderna
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-10
    Survey response — day 14, dose 1
    MedDRA: Erythema, Rash, Rash papular — Feeling: Good
    Free 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 hav
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-20
    Dose 2 — Moderna
  11. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash, Rash pruritic — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free 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
  13. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Office visit, Pityriasis — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site
    Free 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
  14. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-01-27
    Survey response — day 7, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free 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
  17. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-25Moderna
22021-01-20Moderna

Free text

Release 1 — day 14, dose 1

2021-01-10

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

2021-01-23

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.

2021-01-24

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

2021-01-27

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

FieldPreferred term2021-092023-042024-11
SDErythema ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPityriasis ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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