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YE6-25283-92497

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
718 / AR
Registered
2021-02-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-24
    Survey response — day 21, dose 1
    MedDRA: Paraesthesia, Rash — Feeling: Good
    Free text: A recurring rash on arm, and some tingling in the fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-03
    Survey response — day 28, dose 1
    MedDRA: Injection site erythema, Injection site nodule — Feeling: Good
    Free text: On the arm that I got vaccine, I developed large red lesions that went away . They were near the injection site but not directly on it. They did not itch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Dose 2 — Moderna
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  10. 2021-03-13
    Survey response — day 7, dose 2
    MedDRA: Feeling abnormal — Feeling: Good · Headache
    Free text: I feel kind of loopy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-27
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-03
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: My headaches are worse, they are like daily.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Survey response — day 35, dose 2
    MedDRA: Headache, Rash macular — Feeling: Fair
    Free text: Ive had red splotches but they come and go. Not sure if headache is from vaccine, but Ive had them a lot more
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-17
    Survey response — day 42, dose 2
    MedDRA: Erythema, Headache, Pruritus — Feeling: Fair
    Free text: The arm where I received the shot has red spots and It itches . Headaches not bad this week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-06
    Survey response — 3 months, dose 2
    MedDRA: Erythema, Nausea, Pruritus, Urticaria — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nausea and I break out in red welts when I go outside. It also itches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-09-04
    Survey response — 6 months, dose 2
    MedDRA: Photosensitivity reaction, Rash, Rash erythematous, Rash pruritic — Feeling: Good
    Free text: When I go outside in the sun, I break out with large patches and it itches. Large red patches
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2022-03-08
    Survey response — 12 months, dose 2
    MedDRA: Erythema, Rash erythematous — Feeling: Good · Be unable to do your normal daily activities
    Free text: Hands and arms turn red and get a rash when I go in the sun
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-06Moderna

Free text

Release 4 — day 21, dose 1

2021-02-24

Symptoms: A recurring rash on arm, and some tingling in the fingers

Release 5 — day 28, dose 1

2021-03-03

Symptoms: On the arm that I got vaccine, I developed large red lesions that went away . They were near the injection site but not directly on it. They did not itch.

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): I feel kind of loopy

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Headaches

Release 6 — day 28, dose 2

2021-04-03

Symptoms: My headaches are worse, they are like daily.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Ive had red splotches but they come and go. Not sure if headache is from vaccine, but Ive had them a lot more

Release 7 — day 42, dose 2

2021-04-17

Symptoms: The arm where I received the shot has red spots and It itches . Headaches not bad this week

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Nausea and I break out in red welts when I go outside. It also itches

Release 9 — 6 months, dose 2

2021-09-04

Symptoms: When I go outside in the sun, I break out with large patches and it itches. Large red patches

Release 11 — 12 months, dose 2

2022-03-08

Symptoms: Hands and arms turn red and get a rash when I go in the sun

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
SDCondition aggravated ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site nodule ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPhotosensitivity reaction ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ · ✓
SDRash macular ✓ ✓ ✓
SDRash pruritic ✓ · ✓
SDUrticaria ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓

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

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