53U-27571-39855

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 113 / NY
Registered: 2021-02-03

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Registered dependents

595-27676-65964 Other · Male · 2022-02-23

Timeline

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Sneezing — Feeling: Good

Free text: Sneezing every night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Sneezing — Feeling: Fair

Free text: Sneezing often, must be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Sneezing — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Frequent Sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Pfizer-BioNTech
Co-administered: Pneumonia
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: 12 hrs after the the shot my temp was 101.2

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 21, dose 3
MedDRA: Eczema, Pre-existing disease, Pruritus — Feeling: Good

Free text: Skin itchiness, worsening eczema

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 28, dose 3
MedDRA: Eczema, Office visit, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My eczema rash is got bad when I had the 2nd doe and now it's even worst after the booster dose · Healthcare visit (other): Dr's visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-30
Call 1 — Left Voicemail
2021-12-02
Call successful
Participant prefers to complete VAERS report online
2021-12-06
Survey response — day 35, dose 3
MedDRA: Eczema, Office visit, Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin rashes fm eczema flaring up · Healthcare visit (other): Consultation

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Loss of personal independence in daily activities, Pruritus, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuous skin itchiness, it's really affecting my daily activities, I use ointment after ointment and it's not helping

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-11-01	Pfizer-BioNTech	Pneumonia

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Sneezing every night

2021-02-09

Systemic reaction (other): Sneezing often, must be allergies

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Frequent Sneezing

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): 12 hrs after the the shot my temp was 101.2

Release 10 — day 21, dose 3

2021-11-22

Symptoms: Skin itchiness, worsening eczema

Release 10 — day 28, dose 3

2021-11-29

Symptoms: My eczema rash is got bad when I had the 2nd doe and now it's even worst after the booster dose

Healthcare visit (other): Dr's visit

Release 10 — day 35, dose 3

2021-12-06

Symptoms: Skin rashes fm eczema flaring up

Healthcare visit (other): Consultation

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Continuous skin itchiness, it's really affecting my daily activities, I use ointment after ointment and it's not helping

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	Eczema	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Self-medication	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Sneezing	✓	✓	✓

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