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ZXB-24334-03072

2 vaccinations 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
777 / TX
Registered
2021-07-30
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-30
    Dose 1 — Moderna
  2. 2021-07-30
    Registered in v-safe
  3. 2021-07-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-08-04
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-08-13
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-09-02
    Dose 2 — Moderna
  7. 2021-09-02
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  8. 2021-09-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  9. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: Rash on back and stomach but none around where I got the injections
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-09-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: The rash is very itchy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-09-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-09-09
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  14. 2021-09-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-12-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-30Moderna No
22021-09-02Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-05

Systemic reaction (other): Rash on back and stomach but none around where I got the injections

2021-09-06

Systemic reaction (other): The rash is very itchy

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
SRORash ✓ · ✓
SRORash pruritic ✓ · ✓

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

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