YK9-32234-67677 · OpenVSafe

Timeline

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

2021-03-12
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Urticaria — Feeling: Poor · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Hives on my chest and rash/hives on my face and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Rash, Urticaria, Vision blurred — Feeling: Poor · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Dizzy, feel foggy, blurred vision. Hives on neck come and go, hives/rash on cheeks come and go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Hives and rash on chest, neck and face have decreased. Looked like I had a sunburn on the patches that had been hives and rash. Seems to be lessening today overall, any heat for example taking a shower reproduces the effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Rash, Urticaria — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash/hives and red lines on face reappear sporadically

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

Free text: Rash on my cheeks continues to reappear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-04
Call 1 — Left Voicemail
2022-03-12
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Hives on my chest and rash/hives on my face and neck

2021-03-14

Systemic reaction (other): Dizzy, feel foggy, blurred vision. Hives on neck come and go, hives/rash on cheeks come and go

2021-03-15

Systemic reaction (other): Hives and rash on chest, neck and face have decreased. Looked like I had a sunburn on the patches that had been hives and rash. Seems to be lessening today overall, any heat for example taking a shower reproduces the effects.

2021-03-16

Systemic reaction (other): Rash/hives and red lines on face reappear sporadically

2021-03-17

Systemic reaction (other): Rash on my cheeks continues to reappear

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	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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