35K-25431-49879
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: A cold last week, covid test was negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Dose 3 — Moderna
-
2021-12-28
Survey response — day 14, dose 3MedDRA: Pruritus, Rash, Rash macular, Skin reaction, Urticaria — Feeling: FairFree text: Hives and rashes migrating around the body, especially when anything touches my skin. This began exactly 10 days after my Moderna booster, with itchy palms in the evening. I woke up with large red splotches on my face and hives on my arms.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-02
Survey response — day 21, dose 3MedDRA: Asthma, Dyspepsia, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Urticaria was getting worse, along with heartburn and asthma, until receiving a prednisone prescription on 12/31/22. For now, it seems to be improving, but I am concerned about it flaring up again when the regimen is done.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-02
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-05
-
2022-01-06
Callback requested for02:00PM ET
-
2022-01-06
Call successfulCompleted over the phone
- 2022-01-09
- 2022-01-16
- 2022-01-25
- 2022-03-15
- 2022-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — 6 months, dose 2
Symptoms: A cold last week, covid test was negative
Release 10 — day 14, dose 3
Symptoms: Hives and rashes migrating around the body, especially when anything touches my skin. This began exactly 10 days after my Moderna booster, with itchy palms in the evening. I woke up with large red splotches on my face and hives on my arms.
Release 10 — day 21, dose 3
Symptoms: Urticaria was getting worse, along with heartburn and asthma, until receiving a prednisone prescription on 12/31/22. For now, it seems to be improving, but I am concerned about it flaring up again when the regimen is done.
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 |
|---|---|---|---|---|
| SD | Asthma | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash macular | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin reaction | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release