24X-27908-63621

2 vaccinations 6 coded responses 11 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 239 / VA
Registered: 2021-02-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-19
Dose 1 — Moderna
2021-02-10
Dose 2 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 21, dose 1
MedDRA: Injection site cellulitis, Nausea, Paraesthesia, Paraesthesia oral, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives, nausea, cellulitis at injection site, face tingling, lips tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site cellulitis, Paraesthesia, Paraesthesia oral, Urticaria — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Face and lips tingling first two days. Hives the first 5 days. Cellulitis at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Fatigue, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny noseFatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Call 1 — Could Not Reach Participant
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Blood immunoglobulin E increased, Histamine abnormal, Insomnia, Office visit, Pruritus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My body is continuing to produce histamines and my IGE is very high since I took the vaccine. I itch all the time-especially at night and keeps me awake. I take 2 prescription antihistamines daily. · Healthcare visit (other): PCP, Dermatologist, Immunologist/Allergist appointment in September. Dermatologist thinks it could have been triggered by the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diagnosed with COVID 2/7/22.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-10	Moderna

Call center

5 call center cases

5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Hives

Release 4 — day 21, dose 1

2021-02-14

Symptoms: Hives, nausea, cellulitis at injection site, face tingling, lips tingling

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Face and lips tingling first two days. Hives the first 5 days. Cellulitis at injection site

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Runny noseFatigue

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: My body is continuing to produce histamines and my IGE is very high since I took the vaccine. I itch all the time-especially at night and keeps me awake. I take 2 prescription antihistamines daily.

Healthcare visit (other): PCP, Dermatologist, Immunologist/Allergist appointment in September. Dermatologist thinks it could have been triggered by the vaccine.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Diagnosed with COVID 2/7/22.

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
HCVO	Office visit	✓	·	✓
SD	Blood immunoglobulin E increased	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Histamine abnormal	✓	·	✓
SD	Injection site cellulitis	✓	✓	✓
SD	Insomnia	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Pruritus	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Injection site cellulitis	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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