4PF-12550-11776
2 vaccinations
6 coded responses
6 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 432 / OH
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
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2021-03-10
Dose 2 — Moderna
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2021-04-05
Registered in v-safe
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2021-04-05
Survey response — day 21, dose 2MedDRA: Office visit, Pruritus, Skin exfoliation, Urticaria — Feeling: Poor · Be unable to do your normal daily activitiesFree text: one week after first vaccine I started itchy all over my body and broke out in hives, one week after second vaccine my skin stat_x000D_ted peeling on my arms, hands, legs, feet, and face and continued until I received medical help and drugsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 28, dose 2MedDRA: Skin erosion, Skin exfoliation, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Skin is still raw and peeling after taking a 12 day packet of Prednisone · Healthcare visit (other): In person visit with dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — day 35, dose 2MedDRA: Office visit, Skin exfoliation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hands are peeling worse than before went to see Dermatologist again and he gave me a steroid shot and once again said symptoms were the result of Covid Maderna vaccine · Healthcare visit (other): Office visit with DermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — day 42, dose 2MedDRA: Office visit, Self-medication, Skin exfoliation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My hands and elbows are continuing to peel, very raw and sore like a bad burn. My dermatologist gave me a long lasting shot of Kenalog to try and stop the peeling but it is not working. At night I put triamcinolone on the peeling area under gloves · Healthcare visit (other): DermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-09
Survey response — 3 months, dose 2MedDRA: Alopecia, Photosensitivity reaction, Skin exfoliation, Sunburn, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very sun sensitive, welts and sun blisters after a sho time in sun, more skin peeling on my hands. Thinning of hair on my head snd all over my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Erythema, Office visit, Rash macular, Skin exfoliation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Still have skin red splotches and peeling skin. I am now taking Humira shots every 2 weeks and steroid shots once a month to calm my skin · Healthcare visit (other): Dermatologist office visitsMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-03-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
4 call center cases
4 successful
Free text
Release 6 — day 21, dose 2
Symptoms: one week after first vaccine I started itchy all over my body and broke out in hives, one week after second vaccine my skin stat_x000D_ted peeling on my arms, hands, legs, feet, and face and continued until I received medical help and drugs
Release 7 — day 28, dose 2
Symptoms: Skin is still raw and peeling after taking a 12 day packet of Prednisone
Healthcare visit (other): In person visit with dermatologist
Release 7 — day 35, dose 2
Symptoms: Hands are peeling worse than before went to see Dermatologist again and he gave me a steroid shot and once again said symptoms were the result of Covid Maderna vaccine
Healthcare visit (other): Office visit with Dermatologist
Release 7 — day 42, dose 2
Symptoms: My hands and elbows are continuing to peel, very raw and sore like a bad burn. My dermatologist gave me a long lasting shot of Kenalog to try and stop the peeling but it is not working. At night I put triamcinolone on the peeling area under gloves
Healthcare visit (other): Dermatologist
Release 9 — 3 months, dose 2
Symptoms: Very sun sensitive, welts and sun blisters after a sho time in sun, more skin peeling on my hands. Thinning of hair on my head snd all over my body
Release 11 — 12 months, dose 2
Symptoms: Still have skin red splotches and peeling skin. I am now taking Humira shots every 2 weeks and steroid shots once a month to calm my skin
Healthcare visit (other): Dermatologist office visits
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 | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Photosensitivity reaction | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash macular | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin erosion | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Sunburn | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release