ZV2-26652-65801

2 vaccinations 14 coded responses 18 check-ins 14 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 686 / NE
Registered: 2021-01-07

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

2021-01-06
Dose 1 — Moderna
2021-01-07
Registered in v-safe
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

no matching call case
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Pre-existing disease, Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Had rash by neck before, during and after having covid. After Moderna injection rash flared up again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pruritus, Pre-existing disease, Skin exfoliation — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I have MS so I am hoping this is recorded also w my symptoms from Moderna. I have also had itchy, flaky external ears and goes into outer ear canal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Rash on neck, hands and forearms. Assuming tgis is COViD related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 21, dose 1
MedDRA: Office visit, Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on neck, forearms and shoulder blades since had covid baxk in November and flared up after 1st Moderna vaccination · Healthcare visit (other): Seen reg doc and he did punch biopsies. He felt covid related since I have MS and my immune system is responding with these weird rashes. Have to see allergist on Feb 4th to ok to get 2nd covid vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — day 28, dose 1
MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: RASH couldn't see allergist because of snow storm.Rash mostly around neck and on shoulders · Healthcare visit (other): Haven't seen Allergist yet appt on 18

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 35, dose 1
MedDRA: Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash increased · Healthcare visit (other): Appt w Allergist on Feb 18

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Dose 2 — Moderna
2021-02-22
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: See dermatologist tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — day 14, dose 2
MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fighting rash on neck and above elbows also by ankles · Healthcare visit (other): Still waiting to hear from another Allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — day 21, dose 2
MedDRA: Office visit, Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash still on arms, hand, & ankles · Healthcare visit (other): Still waiting on another allergist to call me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — day 35, dose 2
MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash · Healthcare visit (other): Allergist hasn't contacted me yet so I suffer. r

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: Still dealing with rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Call 1 — Left Voicemail
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Little Rash on neck and chest

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-15	Moderna

Call center

7 call center cases

7 unsuccessful

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Had rash by neck before, during and after having covid. After Moderna injection rash flared up again.

2021-01-12

Systemic reaction (other): I have MS so I am hoping this is recorded also w my symptoms from Moderna. I have also had itchy, flaky external ears and goes into outer ear canal.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Rash on neck, hands and forearms. Assuming tgis is COViD related.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: Rash on neck, forearms and shoulder blades since had covid baxk in November and flared up after 1st Moderna vaccination

Healthcare visit (other): Seen reg doc and he did punch biopsies. He felt covid related since I have MS and my immune system is responding with these weird rashes. Have to see allergist on Feb 4th to ok to get 2nd covid vaccination

Release 3 — day 28, dose 1

2021-02-05

Symptoms: RASH couldn't see allergist because of snow storm.Rash mostly around neck and on shoulders

Healthcare visit (other): Haven't seen Allergist yet appt on 18

Release 4 — day 35, dose 1

2021-02-12

Symptoms: Rash increased

Healthcare visit (other): Appt w Allergist on Feb 18

Release 4 — day 7, dose 2

2021-02-22

Healthcare visit (other): See dermatologist tomorrow

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Fighting rash on neck and above elbows also by ankles

Healthcare visit (other): Still waiting to hear from another Allergist

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Rash still on arms, hand, & ankles

Healthcare visit (other): Still waiting on another allergist to call me

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Rash

Healthcare visit (other): Allergist hasn't contacted me yet so I suffer. r

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Still dealing with rash

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Rash

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Little Rash on neck and chest

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: Rash

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	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Rash	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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