DRB-31290-66410
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 993 / WA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
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2021-02-03
Survey response — day 14, dose 1MedDRA: Chills, Emergency care, Headache, Hypersensitivity, Pain, Pyrexia, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: ON 01/21/2021 I HAD BODY ACHES, FEVER, CHILLS AND THROBBING HEADACHE AND ENDED UP IN THE HOSPITAL WITH A SEVERE ALLERGIC REACTION OF HIVES THEY PUT ME ON PREDNISONE AND ANTIHISTAMINES AND PEPCID AND HAVE BEEN TO HOSPITAL TWICE LAST ONE 01/30/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-10
Survey response — day 21, dose 1MedDRA: Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Went to ED and had to have epinephrine since I was experiencing hives and angioedema IV started with steroids and Benadryl Pepcid was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
- 2021-02-24
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2021-03-03
Survey response — day 42, dose 1MedDRA: Abdominal pain, Rash macular, Urticaria — Feeling: Poor · Be unable to work, 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: More hives and abdominal pain Red feet and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 42, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-21
Survey response — 3 months, dose 1MedDRA: Abdominal pain, Fatigue, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Experiencing fatigue, hives throughout my body and abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
-
2021-06-23
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-07-21
-
2022-01-20
Survey response — 12 months, dose 1MedDRA: Abdominal pain, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash abdominal painMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-21
-
2022-01-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 5
Free text
Release 3 — day 14, dose 1
Symptoms: ON 01/21/2021 I HAD BODY ACHES, FEVER, CHILLS AND THROBBING HEADACHE AND ENDED UP IN THE HOSPITAL WITH A SEVERE ALLERGIC REACTION OF HIVES THEY PUT ME ON PREDNISONE AND ANTIHISTAMINES AND PEPCID AND HAVE BEEN TO HOSPITAL TWICE LAST ONE 01/30/2021
Release 4 — day 21, dose 1
Symptoms: Went to ED and had to have epinephrine since I was experiencing hives and angioedema IV started with steroids and Benadryl Pepcid was given
Release 5 — day 42, dose 1
Symptoms: More hives and abdominal pain Red feet and hands
Release 7 — 3 months, dose 1
Symptoms: Experiencing fatigue, hives throughout my body and abdominal pain
Release 10 — 12 months, dose 1
Symptoms: Rash abdominal pain
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release