668-25206-33821

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 481 / MI
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Lots of itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Pruritus, Skin warm, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I've had welts and hives all over my body that are warm or hot to the touch. The itching has been very intense. It started 9-days post Vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 21, dose 1
MedDRA: Rash, Rash papular, Rash pruritic, Skin warm, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: At my last check-in, I noted the addition of a bad hives/rash breakout all over my body. At that time it was very itchy, warm or hot to the touch and skin was raised. Now, the symptoms are finally improving and the rash is clearing up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Dose 2 — Moderna
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: I've had several severe headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Rash, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I have a rash on my arms and an ongoing UTI. I've never had these conditions prior to having the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Could Not Reach Participant
2021-08-07
Call 2 — Could Not Reach Participant
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Ankle fracture, Fall, Fatigue, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I have fatigue and I fell and broke my ankle. In addition, I've had a UTI since early July that has not responded to several courses of antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-22
Call 1 — Could Not Reach Participant
2021-10-27
Call 2 — Could Not Reach Participant
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aching joints and fatigue.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Lots of itching

Release 7 — day 14, dose 1

2021-04-08

Symptoms: I've had welts and hives all over my body that are warm or hot to the touch. The itching has been very intense. It started 9-days post Vaccination.

Release 7 — day 21, dose 1

2021-04-15

Symptoms: At my last check-in, I noted the addition of a bad hives/rash breakout all over my body. At that time it was very itchy, warm or hot to the touch and skin was raised. Now, the symptoms are finally improving and the rash is clearing up.

Release 8 — day 14, dose 2

2021-05-06

Symptoms: I've had several severe headaches.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: I have a rash on my arms and an ongoing UTI. I've never had these conditions prior to having the vaccine.

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: I have fatigue and I fell and broke my ankle. In addition, I've had a UTI since early July that has not responded to several courses of antibiotics.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Aching joints and fatigue.

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	Ankle fracture	·	·	✓
SD	Arthralgia	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Urinary tract infection	✓	·	✓
SD	Urticaria	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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