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4VJ-21891-66479

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
280 / NC
Registered
2021-05-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-04-23
    Dose 2 — Moderna
  3. 2021-05-03
    Registered in v-safe
  4. 2021-05-03
    Survey response — day 7, dose 2
    MedDRA: Office visit — Feeling: Fair · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Dermotologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-03
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-07
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Paraesthesia, Pre-existing disease, Rash, Rash pruritic, Skin burning sensation, Urticaria — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Fatigue, I have rheumatoid arthritis and after the first dose got a minor case of hives. after second shot hives (or whatever they are) got way worse. Very itchy prickly burning patches of rash all over. Had a biopsy will have results soon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  12. 2021-10-24
    Survey response — 6 months, dose 2
    MedDRA: Burning sensation, Condition aggravated, Dermatitis, Pre-existing disease, Pruritus, Rash vesicular — Feeling: Fair · Be unable to work or attend school, 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: I have stated since I got my second dose of the Moderna vaccine I have had a severe case of neuropathy and dermatitis all over my body. I already had neuropathy but the vaccine dialed that and the skin itch, burning and shingle like places 500%.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-24
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2021-10-26
  15. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Dermatitis, Fatigue, Neuralgia, Pruritus — Feeling: Fair · Be unable to work or attend school, 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: Fatigue and severe dermatitis and nerve pain/itch
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-23
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-04-25
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-03

Healthcare visit (other): Dermotologist

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Fatigue, I have rheumatoid arthritis and after the first dose got a minor case of hives. after second shot hives (or whatever they are) got way worse. Very itchy prickly burning patches of rash all over. Had a biopsy will have results soon.

Release 10 — 6 months, dose 2

2021-10-24

Symptoms: I have stated since I got my second dose of the Moderna vaccine I have had a severe case of neuropathy and dermatitis all over my body. I already had neuropathy but the vaccine dialed that and the skin itch, burning and shingle like places 500%.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Fatigue and severe dermatitis and nerve pain/itch

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 ✓ ✓ ✓
SDBurning sensation · · ✓
SDCondition aggravated · · ✓
SDDermatitis · · ✓
SDFatigue ✓ ✓ ✓
SDNeuralgia · · ✓
SDParaesthesia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus · · ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDRash vesicular · · ✓
SDSkin burning sensation ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

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