5WW-27248-50357
3 vaccinations
7 coded responses
34 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 471 / IN
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
-
2021-01-26
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Fair · Fever · Joint painsFree text: noMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Rash, Self-medication — Feeling: Poor · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Broke out in rash at injection site then as night went on all over body.Taking Benadryl and SteroidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had to go to Urgent care. On Steroids for severe rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Rash is starting to fade! You need to let people know there is a ingredient in the moderna and Pfizer vaccine that may cause rash it is in chemo drug I took .That is why had rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash is not as intense as was!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-08
- 2021-08-26
- 2021-09-09
-
2021-10-23
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Rash — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Had to go to Immediate care! Had to get a steroid shot · Healthcare visit (other): Broke out Tuesday in a serve rash on Oct. 26th. No more moderna shots .MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
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2021-10-28
Call successfulParticipant prefers to complete VAERS report online
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-01
- 2021-11-08
- 2021-11-14
- 2021-11-21
- 2021-11-27
- 2021-12-04
- 2022-01-25
-
2022-04-23
Survey response — 6 months, dose 3MedDRA: Adverse reaction, Myalgia, Rash — Feeling: FairFree text: Those shots have caused me rashes, Muscle Aches, other ailments! Never will I ever take another one!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): no
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Broke out in rash at injection site then as night went on all over body.Taking Benadryl and Steroids
Systemic reaction (other): Had to go to Urgent care. On Steroids for severe rash.
Systemic reaction (other): Rash is starting to fade! You need to let people know there is a ingredient in the moderna and Pfizer vaccine that may cause rash it is in chemo drug I took .That is why had rash.
Systemic reaction (other): Rash is not as intense as was!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had to go to Immediate care! Had to get a steroid shot
Healthcare visit (other): Broke out Tuesday in a serve rash on Oct. 26th. No more moderna shots .
Release 11 — 6 months, dose 3
Symptoms: Those shots have caused me rashes, Muscle Aches, other ailments! Never will I ever take another one!
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 | Rash | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release