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YKL-33884-06557

4 vaccinations 4 coded responses 26 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
054 / VT
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Survey response — day 0, dose 1
    MedDRA: Lip pruritus, Pruritus — Feeling: Good · Site: Pain
    Free text: Itching on my face and lips
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I did also have mild itchy & red rash on both of my arms last night after I had already completed my v safe check in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good
    Free text: Symptoms are not new or worsening but I want to note that I am still experiencing a red and itchy rash on my arms. This has been ongoing since my 1st vaccination and is NOT at the injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Dose 2 — Moderna
  11. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  14. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Numbness and tingling in my lower extremities. Strange sensation. Uncertain of related to vaccine but have never felt that before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-02-20
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-04
    Dose 3 — Moderna
  26. 2022-02-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-09-09
    Dose 4 — Moderna
  29. 2022-11-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-12-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-03-10
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-11-04Moderna No
42022-09-09Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Itching on my face and lips

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): I did also have mild itchy & red rash on both of my arms last night after I had already completed my v safe check in

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Symptoms are not new or worsening but I want to note that I am still experiencing a red and itchy rash on my arms. This has been ongoing since my 1st vaccination and is NOT at the injection site.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Numbness and tingling in my lower extremities. Strange sensation. Uncertain of related to vaccine but have never felt that before.

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
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROLip pruritus ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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