Y5Y-17795-08675
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 802 / CO
- Registered
- 2021-06-01
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-01
Registered in v-safe
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2021-06-01
Dose 1 — Moderna
- 2021-06-01
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2021-06-02
Survey response — days 1–6 daily, dose 1MedDRA: Rash pruritic — Feeling: FairFree text: I dont know if it can be considered a rash but I am breaking out with little itchy bumps here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — days 1–6 daily, dose 1MedDRA: Rash pruritic — Feeling: GoodFree text: Still breaking out with bumps that itch here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — days 1–6 daily, dose 1MedDRA: Rash pruritic — Feeling: GoodFree text: Bumps here and there that still itch appearing a little less frequentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Swelling — Feeling: GoodFree text: The bumps stopped coming and there was less itching but still some itching presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: So far as o can tell the bumps have stop coming and there is still so itching for the bumps I currently haveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Still itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Survey response — day 7, dose 1MedDRA: Pruritus, Swelling — Feeling: GoodFree text: Still itching and bump do not appear to be going awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
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2021-06-29
Dose 2 — Moderna
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-04
- 2021-07-05
- 2021-07-06
- 2021-07-13
- 2021-07-21
- 2021-07-28
- 2021-08-03
- 2021-08-10
- 2021-09-29
- 2022-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-01 | Moderna | |
| 2 | 2021-06-29 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I dont know if it can be considered a rash but I am breaking out with little itchy bumps here and there
Systemic reaction (other): Still breaking out with bumps that itch here and there
Systemic reaction (other): Bumps here and there that still itch appearing a little less frequently
Systemic reaction (other): The bumps stopped coming and there was less itching but still some itching present
Systemic reaction (other): So far as o can tell the bumps have stop coming and there is still so itching for the bumps I currently have
Systemic reaction (other): Still itchy
Release 9 — day 7, dose 1
Systemic reaction (other): Still itching and bump do not appear to be going away
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 |
|---|---|---|---|---|
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release