ZVH-40247-20563
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 503 / IA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-03-01
Registered in v-safe
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Self-medication, Specialist consultation — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Rash started last night which was 3 days after 2nd dose. Developed first on non injection arm and then spread to both arms, chest, back and upper legs. Resolved 99% by morning following several Benedryl 25 mg doses. Nothing other than the vaccine different to explain the rash. No fever and vitals stable throughout the episode. · Healthcare visit (other): I consulted my rheumatologist as I was told to hold my methotrexate for 1 week post vaccine. He said safe to miss the dose despite the rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-03-05
- 2021-08-27
- 2021-09-21
-
2021-09-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rash started last night which was 3 days after 2nd dose. Developed first on non injection arm and then spread to both arms, chest, back and upper legs. Resolved 99% by morning following several Benedryl 25 mg doses. Nothing other than the vaccine different to explain the rash. No fever and vitals stable throughout the episode.
Healthcare visit (other): I consulted my rheumatologist as I was told to hold my methotrexate for 1 week post vaccine. He said safe to miss the dose despite the 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 | Rash | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release