DN4-16037-26212
4 vaccinations
2 coded responses
32 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 530 / WI
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Immunisation reaction, Pruritus, Rash macular, Self-medication — Feeling: GoodFree text: I have had a term called COVID arm with red blotchy rashes appear on my right arm and left side of my neck that are slightly itchy but not swollen or painful. They go away after I put hydrocortisone cream where it is irritated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-23
Dose 3 — Moderna
-
2022-04-02
Survey response — 12 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 14 weeks pregnant · Healthcare visit (other): Obgyn appointmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-06
- 2022-05-24
-
2022-10-17
Dose 4 — Moderna
- 2022-11-23
- 2022-11-23
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-10-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 28, dose 2
Symptoms: I have had a term called COVID arm with red blotchy rashes appear on my right arm and left side of my neck that are slightly itchy but not swollen or painful. They go away after I put hydrocortisone cream where it is irritated.
Release 11 — 12 months, dose 2
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release