6LX-18433-83113

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 809 / CO
Registered: 2021-03-06

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

2021-02-06
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Welts on my hips, butt and behind knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Welts fading some. Am taking benadryl.when i stop, itching comes back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Self-medication — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Getting better, still use benadryl though if i don't use that, the itching begins again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Still taking benadryl in the evening, 1 a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: I have broken out in welts all over my midriff and behind my earz and hip joints. Whats goi g on with my body? I hVe never had anything like tbis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 21, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Am still broken out withhives,huge, Welts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 28, dose 2
MedDRA: Ear pruritus, Erythema, Pruritus, Self-medication, Urticaria — Feeling: Good

Free text: Why am i still breaking out with hi ez? My ears redand itcy, my waist, under my bra, left shoulder where i hsd the jab.Whst can i do, i still take benydrl 3x a day and continue to itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 35, dose 2
MedDRA: Pruritus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Cortisone shot, topicalcreamsOral 5 dayprednisone · Healthcare visit (other): Still itching!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chronic idiopathic hives have been awakened with this vaccine.I will not take any other jabs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-08-27
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Welts on my hips, butt and behind knees

2021-03-09

Systemic reaction (other): Welts fading some. Am taking benadryl.when i stop, itching comes back.

2021-03-10

Systemic reaction (other): Getting better, still use benadryl though if i don't use that, the itching begins again

2021-03-11

Systemic reaction (other): Still taking benadryl in the evening, 1 a day

Release 6 — day 14, dose 2

2021-03-20

Symptoms: I have broken out in welts all over my midriff and behind my earz and hip joints. Whats goi g on with my body? I hVe never had anything like tbis.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Am still broken out withhives,huge, Welts.

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Why am i still breaking out with hi ez? My ears redand itcy, my waist, under my bra, left shoulder where i hsd the jab.Whst can i do, i still take benydrl 3x a day and continue to itch.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Cortisone shot, topicalcreamsOral 5 dayprednisone

Healthcare visit (other): Still itching!

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Chronic idiopathic hives have been awakened with this vaccine.I will not take any other jabs.

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	Pruritus	✓	✓	✓
SD	Ear pruritus	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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