2MR-29960-30600

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 806 / CO
Registered: 2021-03-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Insomnia after both Moderna vaccine shots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Survey response — day 14, dose 2
MedDRA: Inflammation, Rash, Skin irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Developed red inflamed body rash & very irritated skin the afternoon of day 8 post vaccination. Subsided the next morning then returned the next evening, then gradually cleared over the next few days. Highly unusual for me w/ no obvious alt. trigger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Dermatitis, Fatigue, Rash, Skin irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Skin irritation and inflammation (moderately severe) with mild body rash and fatigue that flares intermittently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Dermatitis, Skin irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent skin irritation and inflammation especially concentrated on and around the elbows, forearms, knees, calves, and ankles. Severity varies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 35, dose 2
MedDRA: Dermatitis, Skin irritation — Feeling: Good

Free text: Skin irritation and inflammation continues, but overall becoming milder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 42, dose 2
MedDRA: Dermatitis, Skin irritation — Feeling: Good

Free text: Skin irritation and inflammation still persists but is subsiding. On the whole I would consider it a minor symptom now vs when it first started and it was difficult to wear clothes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Insomnia after both Moderna vaccine shots

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Developed red inflamed body rash & very irritated skin the afternoon of day 8 post vaccination. Subsided the next morning then returned the next evening, then gradually cleared over the next few days. Highly unusual for me w/ no obvious alt. trigger cut off by CDC

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Skin irritation and inflammation (moderately severe) with mild body rash and fatigue that flares intermittently.

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Persistent skin irritation and inflammation especially concentrated on and around the elbows, forearms, knees, calves, and ankles. Severity varies.

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Skin irritation and inflammation continues, but overall becoming milder

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Skin irritation and inflammation still persists but is subsiding. On the whole I would consider it a minor symptom now vs when it first started and it was difficult to wear clothes.

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	Dermatitis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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