7GN-32164-19918
2 vaccinations
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Survey response — day 7, dose 1MedDRA: Erythema, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Hives on my face and rednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives on face againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-06
- 2021-03-07
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Hives on face againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-13
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Hives on my face and redness
Release 4 — day 14, dose 1
Symptoms: Hives on face again
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Hives on face again
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 | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release