55F-21922-82582

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 928 / CA
Registered: 2020-12-30

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Rash, Rash pruritic — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Nausea, Rash, not including the immediate area around the injection site

Free text: Itchy rash on the back of my hands. I felt like i had fever this morning but my temp was 98. Something. I did not chek after that so far. I have just felt off since the injection. Just a little off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site scar, Pain in extremity, Rash, Rash pruritic — Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Free text: The rash on the back of my hands is a little better, the left hand is wirst and still hurts a little and itches. The headache was this morning and is better now. A scar is left at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash on back of both hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness, Oropharyngeal pain, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Soarthroat, lightheaded,feeling weak and shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Asthenia, Chills, Fatigue, Headache, Medical counselling, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Weakness. Yesterday moderate pain,headache, chills abd pain fatigue weakness. Called doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None · Be unable to work

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Noticed rash on back right hand like i had after the first vaccine. Has gotten a little worst since i noticed it last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Dizziness, Fatigue, Nausea, Rash — Feeling: Good

Free text: Rash on back if right hand. Tiredness, dizziness on and off. Stomach pain. Nausea on snd off. Got a doctor appointment scheduled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Dry skin, Fatigue, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tiredness, dry skin on back hand where i had the rash · Healthcare visit (other): Dr visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: The same rash on back of my right hand came back but in a smaller area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Call 1 — Left Voicemail
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-25	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Itchy rash on the back of my hands. I felt like i had fever this morning but my temp was 98. Something. I did not chek after that so far. I have just felt off since the injection. Just a little off.

2021-01-03

Systemic reaction (other): The rash on the back of my hands is a little better, the left hand is wirst and still hurts a little and itches. The headache was this morning and is better now. A scar is left at the injection site.

2021-01-05

Systemic reaction (other): Rash on back of both hands.

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Soarthroat, lightheaded,feeling weak and shaky

2021-01-28

Systemic reaction (other): Weakness. Yesterday moderate pain,headache, chills abd pain fatigue weakness. Called doctor

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Noticed rash on back right hand like i had after the first vaccine. Has gotten a little worst since i noticed it last night.

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Rash on back if right hand. Tiredness, dizziness on and off. Stomach pain. Nausea on snd off. Got a doctor appointment scheduled.

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Tiredness, dry skin on back hand where i had the rash

Healthcare visit (other): Dr visits

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: The same rash on back of my right hand came back but in a smaller area.

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	Abdominal pain upper	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site scar	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Tremor	✓	✓	✓

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