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
-
2021-04-19
Dose 1 — Moderna
-
2021-04-20
Registered in v-safe
- 2021-04-20
- 2021-04-21
- 2021-07-19
- 2021-10-18
-
2022-04-21
Survey response — 12 months, dose 1MedDRA: 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 consultationFree text: Developed chronic hives after the booster shotMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-22
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 11 — 12 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Urticaria chronic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release