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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

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-03-10
    Dose 2 — Moderna
  3. 2021-04-05
    Registered in v-safe
  4. 2021-04-05
    Survey response — day 21, dose 2
    MedDRA: Office visit, Pruritus, Skin exfoliation, Urticaria — Feeling: Poor · Be unable to do your normal daily activities
    Free 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 drugs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: 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 visit
    Free text: Symptoms: Skin is still raw and peeling after taking a 12 day packet of Prednisone · Healthcare visit (other): In person visit with dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: Office visit, Skin exfoliation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 Dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-15
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-21
    Survey response — day 42, dose 2
    MedDRA: Office visit, Self-medication, Skin exfoliation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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): Dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-21
    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)
  11. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Alopecia, Photosensitivity reaction, Skin exfoliation, Sunburn, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2022-03-10
    Survey response — 12 months, dose 2
    MedDRA: 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 consultation
    Free 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 visits
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-10
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-03-11
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-10Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — day 21, dose 2

2021-04-05

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

2021-04-09

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

2021-04-15

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

2021-04-21

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

2021-06-09

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

2022-03-10

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOSpecialist consultation ✓ ✓ ✓
SDAlopecia ✓ ✓ ✓
SDErythema · · ✓
SDOffice visit ✓ ✓ ✓
SDPhotosensitivity reaction ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash macular · · ✓
SDSelf-medication ✓ ✓ ✓
SDSkin erosion ✓ ✓ ✓
SDSkin exfoliation ✓ ✓ ✓
SDSunburn ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

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