J3M-68902-12901 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-10-13
Dose 1 — Moderna
2021-10-14
Registered in v-safe
2021-10-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-11-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-11-17
Dose 2 — Moderna
2021-11-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-01
Survey response — day 14, dose 2
MedDRA: Rash pruritic — Feeling: Good

Free text: Itchy rash

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-13	Moderna	No
2	2021-11-17	Moderna	No

Free text

Release 10 — day 14, dose 2

2021-12-01

Symptoms: Itchy rash

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	Rash pruritic	·	·	✓

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