YP5-55998-42875 · OpenVSafe

Timeline

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

2021-03-25
Dose 1 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: 3/27 rash appeared on both arms, back of left leg, forehead, right ear, several spots on scalp, and neck. 3/31 saw doctor who prescribed prednisone and benadryl. By 4/3 rash is mostly gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 1
MedDRA: Dry throat, Tongue dry, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Large hives spread down both arms, neck, right ear, forehead, and back of left leg. Throat & tongue very dry.

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

no matching call case
2021-04-15
Survey response — day 21, dose 1
MedDRA: Dysphonia, Epistaxis, Exposure to SARS-CoV-2, Gastrooesophageal reflux disease, Rhinorrhoea — Feeling: Fair

Free text: All week I've had a raspy voice, very liquid, clear drainage from both sides of nose, acid reflux, and yesterday bloody nose. I was notified I was exposed to covid by positive coworker on 4/9 so worked from home all week while office deep cleaned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 1
MedDRA: Self-medication — Feeling: Fair

Free text: I was told I can't get 2nd vaccine due to continued allergic reactions. New spot of hives on right hand. Took benadryl every 7 hours for 4 days and it stopped the hives from spreading. Now I take 1 benadryl daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 35, dose 1
MedDRA: Urticaria — Feeling: Fair

Free text: Another round of hives on my forehead, nose and right cheek. It is crazy these hives have been happening on & off since 3/24/21 and today is 4/29/21!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 1
MedDRA: Urticaria — Feeling: Fair

Free text: Hives on and off. If I stay on benadryl they are minimal if I don't take benadryl they spread.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome

1 report(s) with no call case — see the timeline.

Free text

Release 6 — day 7, dose 1

2021-04-04

Systemic reaction (other): 3/27 rash appeared on both arms, back of left leg, forehead, right ear, several spots on scalp, and neck. 3/31 saw doctor who prescribed prednisone and benadryl. By 4/3 rash is mostly gone.

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Large hives spread down both arms, neck, right ear, forehead, and back of left leg. Throat & tongue very dry.

Release 7 — day 21, dose 1

2021-04-15

Symptoms: All week I've had a raspy voice, very liquid, clear drainage from both sides of nose, acid reflux, and yesterday bloody nose. I was notified I was exposed to covid by positive coworker on 4/9 so worked from home all week while office deep cleaned.

Release 7 — day 28, dose 1

2021-04-22

Symptoms: I was told I can't get 2nd vaccine due to continued allergic reactions. New spot of hives on right hand. Took benadryl every 7 hours for 4 days and it stopped the hives from spreading. Now I take 1 benadryl daily.

Release 8 — day 35, dose 1

2021-04-29

Symptoms: Another round of hives on my forehead, nose and right cheek. It is crazy these hives have been happening on & off since 3/24/21 and today is 4/29/21!

Release 8 — day 42, dose 1

2021-05-06

Symptoms: Hives on and off. If I stay on benadryl they are minimal if I don't take benadryl they spread.

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	Dry throat	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tongue dry	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Rash	✓	✓	✓

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