6QR-20194-18567

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 030 / NH
Registered: 2021-03-28

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

2021-03-28
Registered in v-safe
2021-03-28
Dose 1 — Moderna
2021-03-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Hot flush, Thirst — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: thirsty/dehydrated/hot flashes

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 · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-25
Dose 2 — Moderna
2021-04-25
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fuzzy head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Mental impairment — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Unable to multitask mentally- fuzziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — day 28, dose 2
MedDRA: Dry skin, Pain, Pruritus — Feeling: Good

Free text: For 2 weeks my scalp is dry, itchy & sensitive. Slight sting to warmer water in shower & hair products used daily prior to vaccine. My hairdresser said that Im the 5th person she has seen this. Dont dare scratch small dry clumps fear of bleedin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Dry skin, Pruritus — Feeling: Good

Free text: Still same dry & itchy scalp as reported last week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Alopecia, Office visit, Psoriasis, Pyrexia, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Within 24 hours after my 2nd Moderna(April 25) I reported fever & vomiting for over 6 hours. Then I reported coming down with scalp psoriasis a few days later. In June I received a prescription to treat the scalp psoriasis.Hair still has to grow back · Healthcare visit (other): Dermatologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-28	Moderna
2	2021-04-25	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): thirsty/dehydrated/hot flashes

Release 7 — day 0, dose 2

2021-04-25

Systemic reaction (other): Fuzzy head

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Unable to multitask mentally- fuzziness

Release 8 — day 28, dose 2

2021-05-23

Symptoms: For 2 weeks my scalp is dry, itchy & sensitive. Slight sting to warmer water in shower & hair products used daily prior to vaccine. My hairdresser said that Im the 5th person she has seen this. Dont dare scratch small dry clumps fear of bleedin

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Still same dry & itchy scalp as reported last week

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Within 24 hours after my 2nd Moderna(April 25) I reported fever & vomiting for over 6 hours. Then I reported coming down with scalp psoriasis a few days later. In June I received a prescription to treat the scalp psoriasis.Hair still has to grow back cut off by CDC

Healthcare visit (other): Dermatologist

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	Alopecia	✓	·	✓
SD	Dry skin	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Psoriasis	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Vomiting	✓	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Thirst	✓	✓	✓

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