Y52-28086-77757
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 234 / VA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
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2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-18
Survey response — day 7, dose 1MedDRA: Pruritus, Skin warm, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: This was my 7th day and the itching started last night. Its a much larger area and swollen an hot. Looked it up on line and it very much like COVID armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: The COVID arm rash that appeared on the 7th day finally disappeared after 6 days. Then today I woke up with a 3 inch new rash at the injection site . not keeping me down but very concerned to get the next shot dont know who to talk to!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
-
2021-03-16
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Felt bad on the second day fine on the third dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): This was my 7th day and the itching started last night. Its a much larger area and swollen an hot. Looked it up on line and it very much like COVID arm
Release 4 — day 14, dose 1
Symptoms: The COVID arm rash that appeared on the 7th day finally disappeared after 6 days. Then today I woke up with a 3 inch new rash at the injection site . not keeping me down but very concerned to get the next shot dont know who to talk to!!
Release 5 — day 7, dose 2
Systemic reaction (other): Felt bad on the second day fine on the third day
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 | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release