CDB-33826-67426
2 vaccinations
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-24
Dose 2 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Feeling cold — Feeling: GoodFree text: I feel cold most of the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-08-25
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Urticaria chronic — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Chronic UticariaMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-28
-
2022-03-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 42, dose 2
Symptoms: I feel cold most of the time
Release 11 — 12 months, dose 2
Symptoms: Chronic Uticaria
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 | Feeling cold | ✓ | ✓ | ✓ |
| SD | Urticaria chronic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release