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S84-27113-97181

1 vaccination 1 coded response 5 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
941 / CA
Registered
2021-04-20
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-07-19
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-10-18
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  7. 2022-04-21
    Survey response — 12 months, dose 1
    MedDRA: Urticaria chronic — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Developed chronic hives after the booster shot
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-04-21
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  9. 2022-04-22
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — 12 months, dose 1

2022-04-21

Symptoms: Developed chronic hives after the booster shot

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
SDUrticaria chronic · · ✓

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