ZLB-20087-07327

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 604 / IL
Registered: 2021-03-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-18
Dose 1 — Moderna
2021-03-28
Registered in v-safe
2021-03-28
Survey response — day 7, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Rash — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: My hands became red with rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: It is black & blue at injection site still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Six hours after 2nd vaccine, I developed rash on both hands. It still hasnt gone away. I called a dr. If it doesnt go away soon, I will need to see a dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-22
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Survey response — day 21, dose 3
MedDRA: Erythema, Office visit, Pruritus, Rash, Skin warm — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme redness hot to the touch and itching on my head, then moves to my back, then my flank. I've had a rash on my back ever since the second vaccine, but now, after the third, this strange redness, and I have the rash in more areas than my back · Healthcare visit (other): I went to a dermatologist, again

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 35, dose 3
MedDRA: Erythema, Office visit, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm now getting areas of redness that itch/rash on various parts of my body · Healthcare visit (other): Dermatologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2021-12-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Call successful
Reported to VAERS during previous contact from GDIT
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna
3	2021-10-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Successful 2021-11-15	Reported to VAERS voluntarily prior to GDIT contact
2021-11-12	Successful 2021-11-15	Reported to VAERS voluntarily prior to GDIT contact
2021-11-26	Successful 2021-12-03	Reported to VAERS during previous contact from GDIT

Free text

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Warm

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): My hands became red with rash

2021-04-19

Systemic reaction (other): It is black & blue at injection site still

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Six hours after 2nd vaccine, I developed rash on both hands. It still hasnt gone away. I called a dr. If it doesnt go away soon, I will need to see a dermatologist

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Extreme redness hot to the touch and itching on my head, then moves to my back, then my flank. I've had a rash on my back ever since the second vaccine, but now, after the third, this strange redness, and I have the rash in more areas than my back

Healthcare visit (other): I went to a dermatologist, again

Release 10 — day 35, dose 3

2021-11-26

Symptoms: I'm now getting areas of redness that itch/rash on various parts of my body

Healthcare visit (other): Dermatologist

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
HCVO	Office visit	·	·	✓
SD	Erythema	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Skin warm	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Rash	✓	✓	✓

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