X6M-20096-81517 · OpenVSafe

Timeline

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

2021-08-17
Registered in v-safe
2021-08-17
Dose 1 — Moderna
2021-08-18
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Broke out with a rash on lu face

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-17	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-18

Systemic reaction (other): Broke out with a rash on lu face

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
SRO	Rash	✓	·	✓

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