4NX-66621-23132

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 026 / MA
Registered: 2021-03-19

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

2021-03-05
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — day 14, dose 1
MedDRA: Medical counselling, Office visit, Pruritus, Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very itchy, somewhat painful rash on hand of arm that got the shot. Started about 6 days after. Talked to allergist with whom I already had an appointment for another issue. Rash still on hand as of March 19. · Healthcare visit (other): Allergy doc visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 21, dose 1
MedDRA: Blister, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: The rash on my hand is SLOWLY healing, but now I have a rash all over my scalp and on my right ear. All the rashes developed weeping blisters. Hydrocortisone cream does not help. Only Calahist lotion gave relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Swollen lymph nodes under arm and back of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on left foot near toes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: Diarrhea and nauseated for 3 days.

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

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Anaphylactic shock, Emergency care, Rash, Swollen tongue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Weepy rash on left arm that lasted 3 weeks. On June 20, tongue swelled up and had to call ambulance for anaphylactic shock. Took 1 week dosage of prednisone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Anaphylactic reaction, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Rash on left arm finally cleared up middle of September. Had a anaphylactic reaction in June, unrelated to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-04
Call 1 — Left Voicemail
2022-04-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Very itchy, somewhat painful rash on hand of arm that got the shot. Started about 6 days after. Talked to allergist with whom I already had an appointment for another issue. Rash still on hand as of March 19.

Healthcare visit (other): Allergy doc visit

Release 6 — day 21, dose 1

2021-03-26

Symptoms: The rash on my hand is SLOWLY healing, but now I have a rash all over my scalp and on my right ear. All the rashes developed weeping blisters. Hydrocortisone cream does not help. Only Calahist lotion gave relief.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Swollen lymph nodes under arm and back of neck

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Rash on left foot near toes.

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Diarrhea and nauseated for 3 days.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Weepy rash on left arm that lasted 3 weeks. On June 20, tongue swelled up and had to call ambulance for anaphylactic shock. Took 1 week dosage of prednisone.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Rash on left arm finally cleared up middle of September. Had a anaphylactic reaction in June, unrelated to the vaccine.

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	Anaphylactic reaction	·	·	✓
SD	Anaphylactic shock	✓	✓	✓
SD	Blister	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	○
SD	Rash	✓	✓	✓
SD	Rash pruritic	·	·	✓
SD	Swollen tongue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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