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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

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-04-05
    Dose 2 — Moderna
  3. 2021-04-17
    Registered in v-safe
  4. 2021-04-17
    Survey response — day 7, dose 2
    MedDRA: 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 consultation
    Free 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 vaccines
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-17
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Office visit, Pruritus, Reaction to previous exposure to any vaccine, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-26
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-17
    Survey response — day 42, dose 2
    MedDRA: Pruritus — Feeling: Fair
    Free 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
  12. 2022-02-25
  13. 2022-03-02
  14. 2022-04-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-04-05Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-17

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

2021-04-26

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

2021-05-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOPanic attack ✓ ✓ ✓
HCVOPruritus ✓ ✓ ✓
HCVOVaccine positive rechallenge ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDReaction to previous exposure to any vaccine ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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