3KX-52459-38480
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 064 / CT
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Registered in v-safe
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-12-07
Dose 3 — Moderna
-
2021-12-23
Survey response — day 14, dose 3MedDRA: Mechanical urticaria, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hives and dermatographiaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
-
2022-01-04
Survey response — day 28, dose 3MedDRA: Mechanical urticaria, Pruritus, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hives continue. Received booster on 12/7; 11 days later I was extremely itchy, especially on scalp. The next day, 12/19, I had hives everywhere. I continue to have dermatographia and occasional hives. Others are having these symptoms after 12 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Survey response — day 35, dose 3MedDRA: Mechanical urticaria, Pruritus, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have had dermatographia and occasional itchiness/hives for 3 weeks now.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-03-08
-
2022-06-07
Survey response — 6 months, dose 3MedDRA: Erythema, Mechanical urticaria, Urticaria — Feeling: GoodFree text: Dermatographia changed around March. Markings are now raised (more like lines of hives) when scratched. Before it was just red. As of June it seems to be diminishing overall and much more tolerable, but still present.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Free text
Release 10 — day 14, dose 3
Symptoms: Hives and dermatographia
Release 10 — day 28, dose 3
Symptoms: Hives continue. Received booster on 12/7; 11 days later I was extremely itchy, especially on scalp. The next day, 12/19, I had hives everywhere. I continue to have dermatographia and occasional hives. Others are having these symptoms after 12 days. cut off by CDC
Release 10 — day 35, dose 3
Symptoms: Have had dermatographia and occasional itchiness/hives for 3 weeks now.
Release 11 — 6 months, dose 3
Symptoms: Dermatographia changed around March. Markings are now raised (more like lines of hives) when scratched. Before it was just red. As of June it seems to be diminishing overall and much more tolerable, but still present.
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 | Erythema | · | · | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release