Y9M-28023-42985 · OpenVSafe

Timeline

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

2021-02-26
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Survey response — day 21, dose 1
MedDRA: Office visit, Pruritus, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Post Vaccination 8 days, Acute Urticaria (hives) legs, arms, waist areas. Severe itching 1. Physician visit, medicine prescribed 2. Urgent care appointment, Severe itching, medicine prescribed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 1
MedDRA: Pruritus, Rash, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: all over acute Urticaria since 8 days post 1st Moderna vaccination received on 2-26-21. Rash is fading, but still experiencing intense itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 42, dose 1
MedDRA: Rash, Rash pruritic — Feeling: Good · Be unable to do your normal daily activities

Free text: Still have some itchy rash on legs from 1st Moderna vaccine 2-26-21 ( rash started 3-6-21) Waiting for my PCP to clear me for either new two shot Pfizer series or 2nd Moderna vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Dose 2 — Janssen/Johnson & Johnson
2021-06-15
Call 1 — Left Voicemail
2021-08-27
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Janssen/Johnson & Johnson
2022-02-26
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-05-15
Dose 4 — Pfizer-BioNTech
2022-09-22
Dose 5 — Pfizer-BioNTech
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-29
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-05-27	Janssen/Johnson & Johnson	No
3	2021-11-12	Janssen/Johnson & Johnson	No
4	2022-05-15	Pfizer-BioNTech	No
5	2022-09-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-21	Unsuccessful
2021-04-02	Unsuccessful

Free text

Release 6 — day 21, dose 1

2021-03-21

Symptoms: Post Vaccination 8 days, Acute Urticaria (hives) legs, arms, waist areas. Severe itching 1. Physician visit, medicine prescribed 2. Urgent care appointment, Severe itching, medicine prescribed

Release 6 — day 35, dose 1

2021-04-02

Symptoms: all over acute Urticaria since 8 days post 1st Moderna vaccination received on 2-26-21. Rash is fading, but still experiencing intense itching.

Release 7 — day 42, dose 1

2021-04-09

Symptoms: Still have some itchy rash on legs from 1st Moderna vaccine 2-26-21 ( rash started 3-6-21) Waiting for my PCP to clear me for either new two shot Pfizer series or 2nd Moderna vaccine.

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	Office visit	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Urticaria	✓	✓	✓

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