8VR-22792-00282
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
-
2021-04-09
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: Poor · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Hives on arms and legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-04-22
Survey response — day 21, dose 1MedDRA: Menstruation irregular — Feeling: FairFree text: Absence of menstrual period, ongoing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-05
- 2021-05-08
- 2021-05-13
- 2021-05-21
- 2021-06-05
- 2021-06-13
- 2021-07-29
-
2022-04-29
Survey response — 12 months, dose 2MedDRA: Office visit, Rash, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: My Moderna booster resulted in hives and rash that have not completely resolved. They are recurring for 3 months + and not controlled completely by over the counter medicine. I am currently on steroids. · Healthcare visit (other): AllergistMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Hives on arms and legs.
Release 7 — day 21, dose 1
Symptoms: Absence of menstrual period, ongoing.
Release 11 — 12 months, dose 2
Symptoms: My Moderna booster resulted in hives and rash that have not completely resolved. They are recurring for 3 months + and not controlled completely by over the counter medicine. I am currently on steroids.
Healthcare visit (other): Allergist
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 | · | · | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release