6WG-36088-88767
4 vaccinations
1 coded response
6 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 601 / IL
- Registered
- 2022-09-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-02-04
Dose 2 — Moderna
-
2021-10-22
Dose 3 — Moderna
-
2022-09-09
Dose 4 — Moderna
-
2022-09-23
Registered in v-safe
-
2022-09-23
Survey response — day 14, dose 4MedDRA: Urticaria — Feeling: PoorFree text: Full body hivesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-16
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | No |
| 2 | 2021-02-04 | Moderna | No |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Free text
Release 12 — day 14, dose 4
Symptoms: Full body hives
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 | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release