ZZJ-29773-54069

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 906 / CA
Registered: 2021-03-31

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-19
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Survey response — day 7, dose 1
MedDRA: Feeling hot, Rash, Rash erythematous — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash been wrapping around my back, stomach and legs red an warm to touch..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 14, dose 1
MedDRA: Contusion, Rash — Feeling: Fair

Free text: I'm bruising if I scratch my rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Moderna
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Just not feeling well!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: This is the 3rd time of breaking out with Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, 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

Free text: Went to my Doctor's office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
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)
2021-04-29
Survey response — day 7, dose 2
MedDRA: Office visit, Rash — Feeling: Poor · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rash all over my body...Hurts!!!!! · Healthcare visit (other): My Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 14, dose 2
MedDRA: Skin burning sensation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: My skin burns an has blustering...Not feeling well...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Skin disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My skin still looks Bad. GETTING Headaches alot.Always tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Arthralgia, Chills, Headache, Hyperhidrosis, Nausea, Pain of skin, Rash — Feeling: Poor · Be unable to work

Free text: Bad headaches, Chills,Joints hurt, Sweats, Skin hurts from Rash, Feel sick to stomach alot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-03-25
Call 1 — Could Not Reach Participant
2022-03-30
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-31

Systemic reaction (other): Rash been wrapping around my back, stomach and legs red an warm to touch..

Release 6 — day 14, dose 1

2021-04-03

Symptoms: I'm bruising if I scratch my rash

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Just not feeling well!!!

2021-04-21

Systemic reaction (other): This is the 3rd time of breaking out with Rash

2021-04-22

Healthcare visit (other): Went to my Doctor's office.

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Rash all over my body...Hurts!!!!!

Healthcare visit (other): My Doctor

Release 8 — day 14, dose 2

2021-05-01

Symptoms: My skin burns an has blustering...Not feeling well...

Release 8 — day 35, dose 2

2021-05-21

Symptoms: My skin still looks Bad. GETTING Headaches alot.Always tired.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Bad headaches, Chills,Joints hurt, Sweats, Skin hurts from Rash, Feel sick to stomach alot.

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	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin burning sensation	✓	✓	✓
SD	Skin disorder	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓

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