4X9-85938-13732 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-09
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-02-06
Dose 2 — Moderna
2021-02-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-16
Dose 4 — Moderna
2022-05-18
Survey response — day 28, dose 4
MedDRA: Dermatitis allergic, Erythema, Pruritus, Self-medication, Urticaria — Feeling: Good

Free text: Some type of allergic skin reaction. Skin itchy and reddish welts. About 2 weeks after 2nd booster. Currently taking Allergra which seems to help decrease symptoms. But symptoms reappear when not taking Allegra. I plan to seek medical attention soon.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Survey response — day 35, dose 4
MedDRA: Erythema, Pruritus, Rash, Rash pruritic, Self-medication, Urticaria — Feeling: Fair

Free text: Allergic type itchy skin rash. General to various areas of body. Reddish itchy welt appearance when scratched. Seems to go away by taking 1 Allegra allergy tablet per day. Symptoms started around April 29, 2022. Still present as of May 22, 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-10-29	Moderna	No
4	2022-04-16	Moderna	No

Free text

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Some type of allergic skin reaction. Skin itchy and reddish welts. About 2 weeks after 2nd booster. Currently taking Allergra which seems to help decrease symptoms. But symptoms reappear when not taking Allegra. I plan to seek medical attention soon. cut off by CDC

Release 11 — day 35, dose 4

2022-05-22

Symptoms: Allergic type itchy skin rash. General to various areas of body. Reddish itchy welt appearance when scratched. Seems to go away by taking 1 Allegra allergy tablet per day. Symptoms started around April 29, 2022. Still present as of May 22, 2022.

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
SD	Dermatitis allergic	·	·	✓
SD	Erythema	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Self-medication	·	·	✓
SD	Urticaria	·	·	✓

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