XXH-31705-97898
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 320 / FL
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
-
2021-01-13
Survey response — 14 day, dose 1MedDRA: Pruritus, Rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-03
Health check-in — 7 day, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-10
Survey response — 14 day, dose 2MedDRA: Rash, Rash pruritic — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-17
Survey response — 21 day, dose 2MedDRA: Rash, Rash pruritic, Self-medication — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-30
- 2021-07-28
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1
Symptoms: I have had itching that actually began last week/ tiny rash on upper back and at base of scalp
Release 4
Symptoms: I have had an itchy rash on my upper back that had improved prior to my second vaccine. After the second vaccine I have also developed an itchy rash across my stomach. My back still itches but is no as severe as my stomach.
Symptoms: My itchy rash has extended from my upper back.. to each side of my neck and on my abdomen. I have been putting calamine lotion on it twice a day. I didnt have a rash prior to the vaccine.
Free-text releases are not linked to a specific 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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release