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Y8X-87972-35316

3 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
919 / CA
Registered
2021-12-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-03-03
    Dose 2 — Moderna
  3. 2021-12-08
    Registered in v-safe
  4. 2021-12-08
    Dose 3 — Moderna
  5. 2021-12-08
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  6. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Reaction to previous exposure to any vaccine, Rosacea — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: I have rosacea and the last time I got the Covid vaccine it irritated my rosacea and it seems to be doing that again
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  10. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good
    Free text: I have much milder symptoms with the booster shot then I did with the second shot when I got the second shot it made my rosacea flare up and it was very painful.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-12-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-01-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-12
    Survey response — day 35, dose 3
    MedDRA: Erythema, Ocular hyperaemia, Skin discolouration — Feeling: Good
    Free text: My left eye got blood shot which I think it's from the Covid vaccine. Also after the red splotches went away on the rosacea on my face some of the red blood veins are gone and I have white splotches on my face. Used to be covered with red veins
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-03-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna No
22021-03-03Moderna No
32021-12-08Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): I have rosacea and the last time I got the Covid vaccine it irritated my rosacea and it seems to be doing that again

2021-12-14

Systemic reaction (other): I have much milder symptoms with the booster shot then I did with the second shot when I got the second shot it made my rosacea flare up and it was very painful.

Release 10 — day 35, dose 3

2022-01-12

Symptoms: My left eye got blood shot which I think it's from the Covid vaccine. Also after the red splotches went away on the rosacea on my face some of the red blood veins are gone and I have white splotches on my face. Used to be covered with red veins

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 · · ✓
SDOcular hyperaemia · · ✓
SDSkin discolouration · · ✓
SROAdverse reaction · · ✓
SROPre-existing disease · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SRORosacea · · ✓

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