4FE-12270-05495 · OpenVSafe

Timeline

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

2021-02-12
Dose 1 — Moderna
2021-03-12
Dose 2 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Survey response — day 14, dose 2
MedDRA: Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives, and skin rash primarily on my back and back of my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 21, dose 2
MedDRA: Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased hives and rashes on my skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — day 28, dose 2
MedDRA: Blister, Office visit, Pruritus, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Many more hives and with small blisters, very itchi, 2-weeks ago went to the doctor, was prescibed an ointment for no more than 2 weeks, seemed to stop it. But now is back with revenge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Fatigue, Rash, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: More hives and rashes all over my body, and fatigue is getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 42, dose 2
MedDRA: Urticaria — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: My hives and rashes are spreading over all of my body and at times the itching is pretty bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call successful
Participant prefers to complete VAERS report online
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-15
Survey response — 12 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: The skin rashes are back!

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Hives, and skin rash primarily on my back and back of my neck

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Increased hives and rashes on my skin

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Many more hives and with small blisters, very itchi, 2-weeks ago went to the doctor, was prescibed an ointment for no more than 2 weeks, seemed to stop it. But now is back with revenge.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: More hives and rashes all over my body, and fatigue is getting worse.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: My hives and rashes are spreading over all of my body and at times the itching is pretty bad.

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: The skin rashes are back!

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	Blister	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓

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