VFK-43965-59364
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 925 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
823-18043-74656
Child or adolescent in my care · Female · 2021-12-06
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Cheilitis — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: A mild rash inside my lips.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-01-26
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating and feeling hot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have been feeling very itchy on different areas of my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 2MedDRA: Pruritus, Rash — Feeling: FairFree text: I have a rash and itchiness it doesnt go away. Rash on underarms and left forearm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 21, dose 2MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash on my underarms is getting worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
- 2021-03-09
- 2021-04-29
- 2021-07-27
- 2021-08-05
-
2021-12-13
Dose 3 — Moderna
-
2021-12-13
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-12-14
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
- 2021-12-16
- 2022-01-03
- 2022-01-19
- 2022-03-14
- 2022-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): A mild rash inside my lips.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating and feeling hot.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I have been feeling very itchy on different areas of my body
Release 3 — day 14, dose 2
Symptoms: I have a rash and itchiness it doesnt go away. Rash on underarms and left forearm.
Release 4 — day 21, dose 2
Symptoms: Rash on my underarms is getting worse.
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release