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4MP-40118-47225

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
851 / AZ
Registered
2020-12-31
Relationship
Self

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Pruritus — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Itchy sore palms of my hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-01
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Contusion, Injection site pruritus, Pruritus, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching
    Free text: Severe itching on injection site and on the back of my head with welts. I've been itching for over a week now. My arm is bruised from the intense itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe itching. Rash at injection site, back of head, down back and on arms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-14
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Pruritus, Psoriasis, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Itchiness and rashes. I had a doctors visit to address it. I got a steroid shot and a topical steroid cream. I was diagnosed with psoriasis after the vaccine flared it up (this was the first time in my life)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-21
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-01-28
    Survey response — day 28, dose 1
    MedDRA: Medical observation, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash. Visited dermatologist. Was prescribed strongest steroids possible.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-28
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-02-06
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  18. 2021-02-13
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  19. 2021-03-04

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna

Call center

4 call center cases

4 unsuccessful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Itchy sore palms of my hands

2021-01-04

Systemic reaction (other): Dizziness

2021-01-06

Systemic reaction (other): Dizziness

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Severe itching on injection site and on the back of my head with welts. I've been itching for over a week now. My arm is bruised from the intense itching.

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Severe itching. Rash at injection site, back of head, down back and on arms.

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Itchiness and rashes. I had a doctors visit to address it. I got a steroid shot and a topical steroid cream. I was diagnosed with psoriasis after the vaccine flared it up (this was the first time in my life)

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Rash. Visited dermatologist. Was prescribed strongest steroids possible.

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
SDInjection site rash ✓ ✓ ✓
SDMedical observation ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPsoriasis ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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