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3W8-84658-43143

2 vaccinations 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
949 / CA
Registered
2021-04-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Moderna
  2. 2021-03-23
    Dose 2 — Moderna
  3. 2021-04-13
    Registered in v-safe
  4. 2021-04-13
    Survey response — day 21, dose 2
    MedDRA: Chills, Dyspnoea, Feeling abnormal, Pain, Rash, Rash erythematous, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had severe chills with strange feeling of compression on my lungs. Couldnt take deep breaths. Had itchy rash on torso 2days after 2nd shot, an erythema rash bright red grid or lace-like looking on day 5 along my entire inner thigh. Body aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-29
    Survey response — day 35, dose 2
    MedDRA: Condition aggravated, Pre-existing disease, Rash — Feeling: Good
    Free text: After the 2nd Moderna shot, my Grovers disease rash has consistently flared up more than usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-03-23
    Survey response — 12 months, dose 2
    MedDRA: Migraine, Transient acantholytic dermatosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Grover's Disease has not dissipated. More consistent migraines.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-03-23
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  12. 2022-03-24

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-23Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-13

Symptoms: I had severe chills with strange feeling of compression on my lungs. Couldnt take deep breaths. Had itchy rash on torso 2days after 2nd shot, an erythema rash bright red grid or lace-like looking on day 5 along my entire inner thigh. Body aches.

Release 8 — day 35, dose 2

2021-04-29

Symptoms: After the 2nd Moderna shot, my Grovers disease rash has consistently flared up more than usual.

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Grover's Disease has not dissipated. More consistent migraines.

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDMigraine · · ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDTransient acantholytic dermatosis · · ✓

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