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2EZ-11589-69284

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
324 / FL
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Rash, Rash pruritic — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Rash is worse today and very itchy. It is on my face, chest, back, neck stomach. There is also flushing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Rash pruritic — Feeling: Fair · Headache, Nausea, Rash, not including the immediate area around the injection site
    Free text: I am still having problems with the itchy rash. Some of it is better but have gotten a little more of it. I do feel somewhat better today. I am not as tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Medical counselling, Pain, Pruritus, Rash, Rash morbilliform — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Yes, its awful. I will get flushing, then the flushing turns to a measles-like rash. Now Its all over my back, chest, abdomen and some on my arms and legs. It itches like poison ivy and also stings a little. Its crazy. Ice and cortisone cream help some. · Healthcare visit (other): My husband is a physician. He recommended prednisone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-19
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Rash pruritic, Self-medication — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: The rash has spread and is very itchy and uncomfortable. Benedryl cream helps. Also took 10 mg of prednisone. Some of the rash is fading. Physically I feel fine. Is this rash a side effect or an allergic rash. I want to get the second shot, but am afraid. I would appreciate a phone call to answer some questions. Also I would like to know if other people have gotten a rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-11
    Dose 2 — Moderna
  13. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness
    Adult check-in
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
  25. 2021-03-24
  26. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Abdominal pain, Abdominal rigidity, Hepatic enzyme increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Abdominal spasm and pain. Elevated liver enzymes. · Healthcare visit (other): I am seeing a gastroenterologist.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2022-02-14
  32. 2022-02-15
  33. 2022-02-16
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Rash is worse today and very itchy. It is on my face, chest, back, neck stomach. There is also flushing.

2021-01-18

Systemic reaction (other): I am still having problems with the itchy rash. Some of it is better but have gotten a little more of it. I do feel somewhat better today. I am not as tired.

2021-01-19

Systemic reaction (other): Yes, its awful. I will get flushing, then the flushing turns to a measles-like rash. Now Its all over my back, chest, abdomen and some on my arms and legs. It itches like poison ivy and also stings a little. Its crazy. Ice and cortisone cream help some.
Healthcare visit (other): My husband is a physician. He recommended prednisone.

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): The rash has spread and is very itchy and uncomfortable. Benedryl cream helps. Also took 10 mg of prednisone. Some of the rash is fading. Physically I feel fine. Is this rash a side effect or an allergic rash. I want to get the second shot, but am afraid. I would appreciate a phone call to answer some questions. Also I would like to know if other people have gotten a rash.

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Abdominal spasm and pain. Elevated liver enzymes.
Healthcare visit (other): I am seeing a gastroenterologist.

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit · · ✓
SDAbdominal pain · · ✓
SDAbdominal rigidity · · ✓
SDHepatic enzyme increased · · ✓
SROFatigue ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash morbilliform ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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