3YB-23258-84235
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 301 / GA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-04-05
Dose 2 — Moderna
-
2021-04-17
Registered in v-safe
-
2021-04-17
Survey response — day 7, dose 2MedDRA: Panic attack, Pruritus, Urticaria, Vaccine positive rechallenge — Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Had large itchy hive , 4-10-21 and 4-15-21 · Healthcare visit (other): Had panic attack due to severe itching and the large hive on same arm where I got both vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-20
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2021-04-26
Survey response — day 21, dose 2MedDRA: Office visit, Pruritus, Reaction to previous exposure to any vaccine, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: 4 weeks after 1st vaccine- large hiveon opposite arm from vaccine arm5 days after 2nd vaccine large extremely itchy hive on vaccine arm-lasted 4 + hours 10 days after 2 nd vaccine-large hive in same spot on vaccine arm. Went down in 4 hours · Healthcare visit (other): In office dr visit, and dermatology visit-also have scheduled an allergy appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-03
- 2021-05-13
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2021-05-17
Survey response — day 42, dose 2MedDRA: Pruritus — Feeling: FairFree text: Havent been reporting this but the arm where i got vaccine has continued to have episodes of severe itching, then eventually dies down on its own. Its aggravating and somewhat a concern.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-02-25
- 2022-03-02
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Had large itchy hive , 4-10-21 and 4-15-21
Healthcare visit (other): Had panic attack due to severe itching and the large hive on same arm where I got both vaccines
Release 8 — day 21, dose 2
Symptoms: 4 weeks after 1st vaccine- large hiveon opposite arm from vaccine arm5 days after 2nd vaccine large extremely itchy hive on vaccine arm-lasted 4 + hours 10 days after 2 nd vaccine-large hive in same spot on vaccine arm. Went down in 4 hours
Healthcare visit (other): In office dr visit, and dermatology visit-also have scheduled an allergy appointment
Release 8 — day 42, dose 2
Symptoms: Havent been reporting this but the arm where i got vaccine has continued to have episodes of severe itching, then eventually dies down on its own. Its aggravating and somewhat a concern.
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 | ✓ | ✓ | ✓ |
| HCVO | Panic attack | ✓ | ✓ | ✓ |
| HCVO | Pruritus | ✓ | ✓ | ✓ |
| HCVO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release