59E-29602-59796

5 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 629 / IL
Registered: 2021-01-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Psoriasis — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: My psoriasis has flared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No symptoms but Cant get second dose until 42 days (6 wks) from first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Pre-existing disease, Pruritus, Psoriasis — Feeling: Good

Free text: Itching and breakout from plaque psoriasis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 2
MedDRA: Chills, Diarrhoea, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, chills, diarrhea with cramping. Lasted 2 plus days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Very tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Good

Free text: I have continued to have an out break of plaque psoriasis since about 10 days after my 2nd dose. It is taking much longer than usual to clear. Using my regular prescribed scalp and skin cream its manageable just annoying and bothersome.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Moderna
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: After my Moderna booster I have had a flare up of plaque psoriasis on both my head and arms. It has not settled down. I hope I get it under control again soon.

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-05-22
Dose 4 — Moderna
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Dose 5 — Moderna
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-11
Survey response — day 14, dose 5
MedDRA: Abdominal discomfort, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head congestion, aches, upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 5
MedDRA: Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: General cold. Sinus and chest congestion. Tested neg for Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-24	Moderna
3	2021-11-09	Moderna	No
4	2022-05-22	Moderna	No
5	2022-10-28	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): My psoriasis has flared up.

2021-01-31

Systemic reaction (other): No symptoms but Cant get second dose until 42 days (6 wks) from first dose

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Itching and breakout from plaque psoriasis

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Headache, chills, diarrhea with cramping. Lasted 2 plus days.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Very tired.

Release 6 — day 35, dose 2

2021-04-02

Symptoms: I have continued to have an out break of plaque psoriasis since about 10 days after my 2nd dose. It is taking much longer than usual to clear. Using my regular prescribed scalp and skin cream its manageable just annoying and bothersome.

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: After my Moderna booster I have had a flare up of plaque psoriasis on both my head and arms. It has not settled down. I hope I get it under control again soon.

Release 12 — day 14, dose 5

2022-11-11

Symptoms: Head congestion, aches, upset stomach

Release 12 — day 35, dose 5

2022-12-02

Symptoms: General cold. Sinus and chest congestion. Tested neg for Covid.

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	Abdominal discomfort	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Psoriasis	✓	✓	✓

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