34M-17587-89260

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 329 / FL
Registered: 2021-02-22

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

Timeline

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

2021-02-09
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Survey response — day 7, dose 1
MedDRA: Pruritus, Rash macular — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Red splotches on both arms and itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 1
MedDRA: Specialist consultation, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hives for the last three night on both arms. · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — day 21, dose 1
MedDRA: Blood pressure increased, Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Since I broke out in hives 10 days after the vaccine, my doctor put me on prednisone for 6 days. I stopped that on Sunday and have had high blood pressure ever since which I never had before. · Healthcare visit (other): Dr office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Office visit, Rosacea — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rosacea on my face. · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Neck area that feels like swollen glands. Since third week after first vaccine. Just heard recently that it could be lymph nodes enlarged from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-22
Survey response — 12 months, dose 2
MedDRA: Office visit, Rosacea — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have rosacea on my face. · Healthcare visit (other): Dermatologist office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-22	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): Red splotches on both arms and itchy

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Hives for the last three night on both arms.

Healthcare visit (other): Primary care physician

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Since I broke out in hives 10 days after the vaccine, my doctor put me on prednisone for 6 days. I stopped that on Sunday and have had high blood pressure ever since which I never had before.

Healthcare visit (other): Dr office visit

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Rosacea on my face.

Healthcare visit (other): Office visit

Release 7 — day 35, dose 2

2021-04-26

Symptoms: Neck area that feels like swollen glands. Since third week after first vaccine. Just heard recently that it could be lymph nodes enlarged from vaccine.

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: Still have rosacea on my face.

Healthcare visit (other): Dermatologist office visit

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	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Rosacea	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash macular	✓	✓	✓

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