YSQ-33657-62864
2 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 201 / VA
- Registered
- 2021-06-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Moderna
-
2021-06-07
Dose 2 — Moderna
-
2021-06-09
Registered in v-safe
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2021-06-09
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: Rash area is getting larger. It was one large plaque now a large one and a few smaller ones.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Survey response — days 1–6 daily, dose 2MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Wanted to note that a relative who was given moderna shot at same time/location as me has also suffered from a bad case of covid arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-06-14
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2021-06-30
Survey response — day 21, dose 2MedDRA: Burning sensation, Immunisation reaction, Pain, Rash, Rash erythematous — Feeling: Good · Be unable to do your normal daily activitiesFree text: Vaccine arm (but not at injection site) started burning as if I had burned it on the stove. There was roughly a week between when earlier covid arm symptoms had disappeared and this burning pain started. There was still a small red patch there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-06-07 | Moderna |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Rash area is getting larger. It was one large plaque now a large one and a few smaller ones.
Systemic reaction (other): Wanted to note that a relative who was given moderna shot at same time/location as me has also suffered from a bad case of covid arm.
Release 9 — day 21, dose 2
Symptoms: Vaccine arm (but not at injection site) started burning as if I had burned it on the stove. There was roughly a week between when earlier covid arm symptoms had disappeared and this burning pain started. There was still a small red patch there.
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Erythema | ○ | ○ | ○ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ○ | ○ | ○ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release