3AA-36215-08206 · OpenVSafe

Timeline

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

2021-06-17
Dose 1 — Moderna
2021-06-19
Registered in v-safe
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Headache

Free text: Hives on the day of

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Sneezing, runny nose from allergic reaction?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Fair

Free text: Hives are growing. Have been taking Benadryl but so far still itchy and growing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — day 7, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Itching

Free text: Hives growing in different parts of my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 14, dose 1
MedDRA: Urticaria — Feeling: Fair

Free text: Hives have grown bigger. New ones have popped up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-07-28
Dose 2 — Moderna
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-10-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-17	Moderna	No
2	2021-07-28	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): Hives on the day of

2021-06-21

Systemic reaction (other): Sneezing, runny nose from allergic reaction?

2021-06-23

Systemic reaction (other): Hives are growing. Have been taking Benadryl but so far still itchy and growing.

Release 9 — day 7, dose 1

2021-06-26

Systemic reaction (other): Hives growing in different parts of my legs

Release 9 — day 14, dose 1

2021-07-01

Symptoms: Hives have grown bigger. New ones have popped up.

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	Urticaria	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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