3A6-78284-41855
3 vaccinations
7 coded responses
36 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 041 / ME
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LHT-18397-11040
Child or adolescent in my care · Female · 2021-11-06
CXP-63971-48788
Child or adolescent in my care · Male · 2022-08-03
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-22
-
2021-11-12
Dose 3 — Moderna
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Thirst — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: ThirstMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-21
-
2021-11-26
Survey response — day 14, dose 3MedDRA: Rash pruritic, Urticaria — Feeling: FairFree text: Itchy rash with some hivesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 21, dose 3MedDRA: Erythema, Pruritus, Rash erythematous, Urticaria — Feeling: GoodFree text: Uticaria continues. Started with hives and red rash, now less severe but skin still turns red and itchy with contact.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Survey response — day 28, dose 3MedDRA: Urticaria — Feeling: GoodFree text: Not worsening but ongoing urticaria I am managing with antihistamines. I had never dealt with symptoms of this kind before.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Survey response — day 35, dose 3MedDRA: Mechanical urticaria, Office visit, Pruritus, Self-medication, Urticaria, Urticaria chronic — Feeling: GoodFree text: Urticaria continues - itchy hives are managed with antihistamines but dermatographia continues despite antihistamine treatment. Saw an allergist today who diagnosed chronic urticaria. Started two weeks after my booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
-
2022-02-13
Survey response — 3 months, dose 3MedDRA: Dizziness postural, Food allergy, Gastrointestinal disorder, Mechanical urticaria, Urticaria chronic — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ongoing chronic urticaria/dermatographia that began 14 days after my booster. Experiencing lightheadedness moving to standing sometimes and more GI symptoms and sensitivity to foods as well since the booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-13
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-22
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-15
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Pain, Respiratory tract congestion, Sinus pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID- congestion, sinus pain, body aches, coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Thirst
Release 10 — day 14, dose 3
Symptoms: Itchy rash with some hives
Release 10 — day 21, dose 3
Symptoms: Uticaria continues. Started with hives and red rash, now less severe but skin still turns red and itchy with contact.
Release 10 — day 28, dose 3
Symptoms: Not worsening but ongoing urticaria I am managing with antihistamines. I had never dealt with symptoms of this kind before.
Release 10 — day 35, dose 3
Symptoms: Urticaria continues - itchy hives are managed with antihistamines but dermatographia continues despite antihistamine treatment. Saw an allergist today who diagnosed chronic urticaria. Started two weeks after my booster.
Release 11 — 3 months, dose 3
Symptoms: Ongoing chronic urticaria/dermatographia that began 14 days after my booster. Experiencing lightheadedness moving to standing sometimes and more GI symptoms and sensitivity to foods as well since the booster.
Release 11 — 6 months, dose 3
Symptoms: COVID- congestion, sinus pain, body aches, cough
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Urticaria chronic | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release