Y36-27489-26851 · OpenVSafe

Timeline

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

2021-01-13
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash on neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Hives neck, face, back, abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Hives on body- i need someone to call me to discuss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Office visit — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: This is the last I will fill out unless someone calls me about this. It is ridiculous that no one has reached out to me about a serious systemic reaction requiring ED visit and allergist follow up. I have left voice mails with the health department. The lack of help and concern, not to mention lack of guidance, for serious adverse reactions is appalling and disgusting. As a healthcare provider, I can confidently say that this is an appalling ball drop for our health department and has left me less than confident in recommending my patients get a vaccine which will leave them ha going out to dry alone if they have issues with it. Stop sending surveys and actually respond when people need you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Rash on neck

2021-01-16

Systemic reaction (other): Hives neck, face, back, abdomen

2021-01-17

Systemic reaction (other): Hives on body- i need someone to call me to discuss

2021-01-18

Systemic reaction (other): This is the last I will fill out unless someone calls me about this. It is ridiculous that no one has reached out to me about a serious systemic reaction requiring ED visit and allergist follow up. I have left voice mails with the health department. The lack of help and concern, not to mention lack of guidance, for serious adverse reactions is appalling and disgusting. As a healthcare provider, I can confidently say that this is an appalling ball drop for our health department and has left me less than confident in recommending my patients get a vaccine which will leave them ha going out to dry alone if they have issues with it. Stop sending surveys and actually respond when people need you

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	Emergency care	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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