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L36-67414-24136

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
750 / TX
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-07
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Dose 2 — Moderna
  7. 2021-04-04
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  11. 2022-04-04
    Survey response — 12 months, dose 2
    MedDRA: Anaphylactic reaction, Mechanical urticaria, Office visit, Swelling face, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: As a result of my booster, I broke out into full body hives and experienced swelling of the face and anaphylaxis. It took weeks to get the hives under control. I am still on medicine to keep them away. I have since developed dermatographia too. · Healthcare visit (other): Allergist
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  13. 2022-04-13

Vaccinations

DoseDateManufacturerCo-administered
12021-03-07Moderna
22021-04-04Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: As a result of my booster, I broke out into full body hives and experienced swelling of the face and anaphylaxis. It took weeks to get the hives under control. I am still on medicine to keep them away. I have since developed dermatographia too.
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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAnaphylactic reaction · · ✓
SDMechanical urticaria · · ✓
SDSwelling face · · ✓
SDUrticaria · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release