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3QD-25919-31738

3 vaccinations 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
100 / NY
Registered
2021-12-12
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-27
    Dose 2 — Moderna
  3. 2021-11-21
    Dose 3 — Moderna
  4. 2021-12-12
    Registered in v-safe
  5. 2021-12-14
    Survey response — day 21, dose 3
    MedDRA: Urticaria — Feeling: Fair
    Free text: I have hives that developed 12 days after the booster. I know 3 other people with the same symptoms, all who had the Moderna booster. I have no known allergies.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-12-28
    Survey response — day 35, dose 3
    MedDRA: Rash, Unevaluable event, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: The hives that I have have worsened. They were getting better because I was taking prednisone. I've run out of the medication and the rash has flared up significantly. · Healthcare visit (other): I left a message for the doctor. I'm out of town and can't get in touch another way.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-28
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-12-30
  10. 2022-01-03
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna No
22021-02-27Moderna No
32021-11-21Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — day 21, dose 3

2021-12-14

Symptoms: I have hives that developed 12 days after the booster. I know 3 other people with the same symptoms, all who had the Moderna booster. I have no known allergies.

Release 10 — day 35, dose 3

2021-12-28

Symptoms: The hives that I have have worsened. They were getting better because I was taking prednisone. I've run out of the medication and the rash has flared up significantly.
Healthcare visit (other): I left a message for the doctor. I'm out of town and can't get in touch another way.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDRash · · ✓
SDUrticaria · · ✓

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