3JH-21218-61922

4 vaccinations 8 coded responses 30 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 159 / PA
Registered: 2021-04-01

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

2021-03-04
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — day 28, dose 1
MedDRA: Blister, Self-medication — Feeling: Good

Free text: Blisters across chest/under breasts areas appeared around 21 days after the 1st Covid vaccine shot. I put cortisone - 10 on the areas 2-3x daily for 7 days & it cleared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Moderna
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Blister — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Blisters developing chest/under breast areas. Under right breast more pronounced. Blisters developed sooner than with first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Blister — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Blisters continue on chest/breast areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 2
MedDRA: Blister, Self-medication — Feeling: Fair

Free text: Exacerbation of blisters on chest/breast areas approximately 4 days ago. Using Cortisone 10 cream for relief with good results noted.

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

Free text: Blisters on chest/breast areas have now cleared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Blister, No reaction on previous exposure to drug — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Received my annual flu shot on 9/22/21 and broke out in blisters on my chest/under breast areas the same as when I got the Cvirus vaccines. Very surprised as I had never had any reactions to the regular flu shots prior.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-13
Dose 3 — Moderna
2021-10-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 21, dose 3
MedDRA: Blister, Fatigue, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and mild blisters under breasts and abdomen areas though not nearly as severe as from the first 2 vaccines.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Call 2 — Left Voicemail
2022-01-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I seem tired/fatigued all the time. · Healthcare visit (other): Doctor checkup with blood work done.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-14
Call 1 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-07	Moderna
3	2021-10-13	Moderna	No
4	2022-04-13	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 28, dose 1

2021-04-01

Symptoms: Blisters across chest/under breasts areas appeared around 21 days after the 1st Covid vaccine shot. I put cortisone - 10 on the areas 2-3x daily for 7 days & it cleared up.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Blisters developing chest/under breast areas. Under right breast more pronounced. Blisters developed sooner than with first shot.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Blisters continue on chest/breast areas.

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Exacerbation of blisters on chest/breast areas approximately 4 days ago. Using Cortisone 10 cream for relief with good results noted.

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Blisters on chest/breast areas have now cleared up.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Received my annual flu shot on 9/22/21 and broke out in blisters on my chest/under breast areas the same as when I got the Cvirus vaccines. Very surprised as I had never had any reactions to the regular flu shots prior.

Release 10 — day 21, dose 3

2021-11-03

Symptoms: Fatigue and mild blisters under breasts and abdomen areas though not nearly as severe as from the first 2 vaccines.

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: I seem tired/fatigued all the time.

Healthcare visit (other): Doctor checkup with blood work done.

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	Blister	✓	✓	✓
SD	Fatigue	·	·	✓
SD	No reaction on previous exposure to drug	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Blister	✓	✓	✓

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