Y2E-22915-24842

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Injection site discomfort, Injection site erythema, Injection site inflammation, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Covid arm: large rash around injection site. Began on 8th day post vaccination. Started to fade, then got worse again. Very red, 3 diameter, inflamed patch. Itchy, warm, uncomfortable. Began methyl prednisone blister pack this am. Rash improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth, Rash erythematous — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Red rash below the injection site (Covid arm). Warm, slightly swollen and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Rash has grown in size to 4x5 inches. Still itchy, painful and red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Large, red, itchy rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus, Rash, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash larger; redder and itchy along margins. Older areas fading.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash is beginning to fade, but still very large.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Call 1 — Left Voicemail
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-26	Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Covid arm: large rash around injection site. Began on 8th day post vaccination. Started to fade, then got worse again. Very red, 3 diameter, inflamed patch. Itchy, warm, uncomfortable. Began methyl prednisone blister pack this am. Rash improving.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Red rash below the injection site (Covid arm). Warm, slightly swollen and painful.

2021-03-16

Systemic reaction (other): Rash has grown in size to 4x5 inches. Still itchy, painful and red.

2021-03-17

Systemic reaction (other): Large, red, itchy rash

2021-03-18

Systemic reaction (other): Rash larger; redder and itchy along margins. Older areas fading.

Release 6 — day 7, dose 2

2021-03-19

Systemic reaction (other): Rash is beginning to fade, but still very large.

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	Immunisation reaction	✓	✓	✓
SD	Injection site discomfort	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SRO	Erythema	✓	✓	○
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pruritus	✓	✓	○
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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