6TH-26823-76435

1 vaccination 14 coded responses 16 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 895 / NV
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: A little itchy legs and feet but no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Elevated Heart rate at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Nerve pains throughout body mild shooting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia, Pruritus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Itching, nerve tension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good · Headache, Fatigue or tiredness

Free text: Itching hands feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — day 14, dose 1
MedDRA: Burning sensation, Pruritus — Feeling: Good

Free text: Severe itching on my legs/ankles and feet. Mostly on the bottom of my feet and like feeling my feet were on fire or burning up. Almost like a nerve irritation or shooting pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 21, dose 1
MedDRA: Feeling hot, Paraesthesia, Pruritus — Feeling: Good

Free text: Severe itching in my legs feet at time tingly feeling. Sometime like they are hot both hands and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 28, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Same itching in the feet, legs and randomly through out the body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 35, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Still having itching on the feet, legs and occasionally throughout the body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 42, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itching in the feet and legs or occasionally other areas of the body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — 3 months, dose 1
MedDRA: Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Itching and hives · Healthcare visit (other): Check up for my itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-01
Callback requested for
2021-07-01
Call successful
Participant prefers to complete VAERS report online
2021-07-04
Survey response — 6 months, dose 1
MedDRA: Erythema, Pruritus, Skin irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Skin redness and irritation itching now I have to take a Claritin daily to keep the itching down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call 1 — Left Voicemail
2021-07-19
Call 2 — Left Voicemail
2022-01-01
Survey response — 12 months, dose 1
MedDRA: Mechanical urticaria, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have the dermatographia · Healthcare visit (other): PCP clinical visit

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna

Call center

6 call center cases

1 successful · 2 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-31

Systemic reaction (other): A little itchy legs and feet but no rash

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Elevated Heart rate at times

2021-01-04

Systemic reaction (other): Nerve pains throughout body mild shooting

2021-01-05

Systemic reaction (other): Itching

2021-01-06

Systemic reaction (other): Itching, nerve tension

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Itching hands feet

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Severe itching on my legs/ankles and feet. Mostly on the bottom of my feet and like feeling my feet were on fire or burning up. Almost like a nerve irritation or shooting pains.

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Severe itching in my legs feet at time tingly feeling. Sometime like they are hot both hands and feet.

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Same itching in the feet, legs and randomly through out the body

Release 3 — day 35, dose 1

2021-02-04

Symptoms: Still having itching on the feet, legs and occasionally throughout the body.

Release 4 — day 42, dose 1

2021-02-11

Symptoms: Itching in the feet and legs or occasionally other areas of the body.

Release 6 — 3 months, dose 1

2021-04-02

Symptoms: Itching and hives

Healthcare visit (other): Check up for my itching

Release 9 — 6 months, dose 1

2021-07-04

Symptoms: Skin redness and irritation itching now I have to take a Claritin daily to keep the itching down

Release 10 — 12 months, dose 1

2022-01-01

Symptoms: Still have the dermatographia

Healthcare visit (other): PCP clinical visit

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	·	·	✓
HCVO	Pruritus	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Mechanical urticaria	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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