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
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Survey response — day 0, dose 1MedDRA: Lip pruritus, Pruritus — Feeling: Good · Site: PainFree text: Itching on my face and lipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree 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 inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-29
Survey response — day 14, dose 1MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: GoodFree 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
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree 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
- 2021-02-16
- 2021-02-17
-
2021-02-20
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-29
- 2021-05-14
- 2021-08-13
-
2021-11-04
Dose 3 — Moderna
- 2022-02-12
- 2022-05-07
-
2022-09-09
Dose 4 — Moderna
- 2022-11-04
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Itching on my face and lips
Release 2 — days 1–6 daily, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lip pruritus | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release