YY8-62818-03214 · OpenVSafe

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-02-23
Dose 2 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity, Medical counselling, Pruritus, Rash, Self-medication, Skin burning sensation — Feeling: Poor · Site: Pain, Itching · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Yes, I had a severe allergic reaction to the shot I broke out in a hot firey rash all over my body and felt like could itch right out of my skin . It is now day 3 and I still have the feeling of itchy news but it is not as severe as it was the day I got the shot. The firey rash did go away after taken Benadryl after consulting with my allergist and primary doctor. But the feeling of itchy news I still have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-25	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Yes, I had a severe allergic reaction to the shot I broke out in a hot firey rash all over my body and felt like could itch right out of my skin . It is now day 3 and I still have the feeling of itchy news but it is not as severe as it was the day I got the shot. The firey rash did go away after taken Benadryl after consulting with my allergist and primary doctor. But the feeling of itchy news I still have.

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	Hypersensitivity	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓

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