FZH-17645-45261

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 450 / OH
Registered: 2021-01-02

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

2020-12-28
Dose 1 — Moderna
2021-01-02
Registered in v-safe
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash, itching and bumps all over my body yesterday

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

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-01-11
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site urticaria, Lactation disorder, Maternal exposure during breast feeding — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: On 1/9 I got a half dollar sized hive at the injection site and was VERY tired. I am breastfeeding and my supply has decreased from 3 oz to 1 oz.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): At 12 hrs post vaccine I got a fever, chills, headache, body aches until 36 hrs post injection. My fever spoke to 102.2 twice · Healthcare visit (other): Rapid covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache

Free text: Mild sore throat for half the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Day 10 post vaccine I got a rash and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Call 1 — Left Voicemail
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Call successful
Participant prefers to complete VAERS report online
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 35, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Continues itching head to toe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Call 1 — Left Voicemail
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Asthma, COVID-19, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Covid, asthma exacerbation · Healthcare visit (other): Asthma exacerbation

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-28	Moderna

Call center

4 call center cases

2 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Rash, itching and bumps all over my body yesterday

Release 1 — day 14, dose 1

2021-01-11

Symptoms: On 1/9 I got a half dollar sized hive at the injection site and was VERY tired. I am breastfeeding and my supply has decreased from 3 oz to 1 oz.

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): At 12 hrs post vaccine I got a fever, chills, headache, body aches until 36 hrs post injection. My fever spoke to 102.2 twice

Healthcare visit (other): Rapid covid test

2021-02-03

Systemic reaction (other): Mild sore throat for half the day

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Day 10 post vaccine I got a rash and itching

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Continues itching head to toe

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Covid, asthma exacerbation

Healthcare visit (other): Asthma exacerbation

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	Asthma	·	·	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site urticaria	✓	✓	✓
SD	Lactation disorder	✓	✓	✓
SD	Maternal exposure during breast feeding	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓

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