ZQ4-12369-50218
5 vaccinations
11 coded responses
59 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 458 / OH
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-06
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Feeling hot, Immunisation reaction, Nodule — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Had Covid Arm redness and warmth started 7 days after first injection. Was located 4 below injection site and wrapped around arm. There was a hard knot 4x2 - like a knotted muscle under the redness that was very sore for a day and now sore to the touch. None of this was bothersome - just confusing as it began 7 days after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Itchy rash on lower arm below elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Lower arm below elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
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2021-03-27
Dose 2 — Moderna
- 2021-03-27
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
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2021-04-10
Survey response — day 14, dose 2MedDRA: Rash pruritic — Feeling: GoodFree text: Itchy rash on lower arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: The COVID arm rash reappeared and lasted about a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-25
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2021-10-23
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Rash, Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchy rash like with first dose; but, this time on side at waist instead of on arm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — day 7, dose 3MedDRA: Rash, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchy rash on side at waistMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-15
- 2021-11-20
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2021-12-02
Survey response — day 35, dose 3MedDRA: Rash erythematous, Rash pruritic — Feeling: GoodFree text: Not worse - but red, itchy rash still present.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2022-01-22
- 2022-04-23
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2022-07-22
Dose 4 — Moderna
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2022-07-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
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2022-08-05
Survey response — day 14, dose 4MedDRA: Rash — Feeling: GoodFree text: RashMedDRA releases: 2024-11 · check-in free text available
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2022-08-12
Survey response — day 21, dose 4MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Itchy Rash continuesMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-26
- 2022-09-02
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2022-10-27
Dose 5 — Moderna
- 2022-10-27
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
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2022-11-10
Survey response — day 14, dose 5MedDRA: Rash, Vaccine positive rechallenge — Feeling: GoodFree text: Rash - as I have had after every Moderna injection. Usually appears about 1 week after injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Had Covid Arm redness and warmth started 7 days after first injection. Was located 4 below injection site and wrapped around arm. There was a hard knot 4x2 - like a knotted muscle under the redness that was very sore for a day and now sore to the touch. None of this was bothersome - just confusing as it began 7 days after injection.
Systemic reaction (other): Itchy rash on lower arm below elbow.
Release 5 — day 7, dose 1
Systemic reaction (other): Lower arm below elbow
Release 7 — day 14, dose 2
Symptoms: Itchy rash on lower arm.
Release 9 — 3 months, dose 2
Symptoms: The COVID arm rash reappeared and lasted about a week.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itchy rash like with first dose; but, this time on side at waist instead of on arm.
Release 10 — day 7, dose 3
Systemic reaction (other): Itchy rash on side at waist
Release 10 — day 35, dose 3
Symptoms: Not worse - but red, itchy rash still present.
Release 12 — day 14, dose 4
Symptoms: Rash
Release 12 — day 21, dose 4
Symptoms: Itchy Rash continues
Release 12 — day 14, dose 5
Symptoms: Rash - as I have had after every Moderna injection. Usually appears about 1 week after injection.
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 | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release