3JT-21687-57700

5 vaccinations 7 coded responses 25 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 481 / MI
Registered: 2021-03-03

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

2021-03-02
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Rash, Rash pruritic, Self-medication — Feeling: Fair · Site: Pain · 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): I had a slight rash in my neck 2 weeks prior to vaccine. It was going away. Mow it is a bit worse and is itchy. · Healthcare visit (other): A call to my dr. Benadryl was recommended. If that doesnt help well have a Telegraph visit after a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nonspecific reaction, Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I have a rash in my neck that has gotten worse. I had this rash before my vaccine. It was going away. I went to a doctor for it and because I had it before the vaccine he didnt think it was related to the vaccine. I have a cream for it now and its getting better. · Healthcare visit (other): I was out of town caring for parents so I went to a clinic by their house.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still have rash on my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Specialist consultation — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Skin doctor appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tiredness

Free text: Im not sleeping well. I wake up several times during the night. I usually sleep all night with no problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: Not sleeping well, waking up several times a night . So Im tired during the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Call 2 — Left Voicemail
2021-11-12
Dose 3 — Moderna
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-09-13
Dose 5 — Moderna
2022-10-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-14
Survey response — 6 months, dose 5
MedDRA: COVID-19, Medical counselling, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-14
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2023-03-15
Call 1 — Left Voicemail
2023-03-15
Call 1 — Left Voicemail
2023-03-15
Call 1 — Left Voicemail
2023-03-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-11-12	Moderna	No
4	2022-04-14	Moderna	No
5	2022-09-13	Moderna	No

Call center

4 call center cases

4 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): I had a slight rash in my neck 2 weeks prior to vaccine. It was going away. Mow it is a bit worse and is itchy.

Healthcare visit (other): A call to my dr. Benadryl was recommended. If that doesnt help well have a Telegraph visit after a few days.

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): I have a rash in my neck that has gotten worse. I had this rash before my vaccine. It was going away. I went to a doctor for it and because I had it before the vaccine he didnt think it was related to the vaccine. I have a cream for it now and its getting better.

Healthcare visit (other): I was out of town caring for parents so I went to a clinic by their house.

2021-03-06

Systemic reaction (other): Still have rash on my neck.

2021-03-08

Healthcare visit (other): Skin doctor appointment

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Im not sleeping well. I wake up several times during the night. I usually sleep all night with no problems.

2021-04-03

Systemic reaction (other): Not sleeping well, waking up several times a night . So Im tired during the day.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	COVID-19	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nonspecific reaction	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pruritus	○	○	○
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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