B74-14074-54711
3 vaccinations
1 coded response
13 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 207 / MD
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
-
2021-01-17
Health check-in — day 7, dose 1Feeling: Good · Site: Redness · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-01-17
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-23
- 2021-01-30
-
2021-02-04
Dose 2 — Moderna
- 2021-02-13
- 2021-02-18
- 2021-02-25
- 2021-03-06
- 2021-03-12
- 2021-03-17
- 2021-03-18
- 2021-05-06
- 2021-08-07
-
2021-12-12
Dose 3 — Moderna
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Burning sensation, Pruritus, Rash, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Constant hives and rash all over my body, hives pop up randomly in unspecified areas and last for about 30-60 minutes at a time. Itchy and burn. Then go away and resurface over the next few hours. Ever since booster vaccine. Everyday.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-04
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-07
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 11 — 12 months, dose 2
Symptoms: Constant hives and rash all over my body, hives pop up randomly in unspecified areas and last for about 30-60 minutes at a time. Itchy and burn. Then go away and resurface over the next few hours. Ever since booster vaccine. Everyday.
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 | Burning sensation | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release