KCQ-31020-25001
3 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 940 / CA
- Registered
- 2021-12-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-04-06
Dose 2 — Moderna
-
2021-12-03
Registered in v-safe
-
2021-12-03
Dose 3 — Moderna
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
-
2021-12-17
Survey response — day 14, dose 3MedDRA: 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Full body hives that lasted for 4 days and are still coming and goingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Report sent to call center — day 14, dose 3Be 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)
- 2021-12-21
- 2021-12-24
-
2021-12-28
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-06
- 2022-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | No |
| 2 | 2021-04-06 | Moderna | No |
| 3 | 2021-12-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 3
Symptoms: Full body hives that lasted for 4 days and are still coming and going
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 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release