US7-84315-92387
4 vaccinations
3 coded responses
54 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 440 / OH
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZH8-17967-74946
Child or adolescent in my care · Male · 2022-09-15
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-01
Dose 2 — Moderna
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-09
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-10
- 2021-11-11
- 2021-11-14
- 2021-11-19
- 2021-11-27
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-06
- 2022-05-06
-
2022-09-15
Dose 4 — Moderna
- 2022-09-15
-
2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
-
2022-09-29
Survey response — day 14, dose 4MedDRA: Pruritus, Rash, Scratch — Feeling: GoodFree text: Itchiness, scratch like rashesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — day 21, dose 4MedDRA: Pruritus, Rash pruritic — Feeling: GoodFree text: Itchy all over, scratch like rashes that come and goMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Survey response — day 28, dose 4MedDRA: Mechanical urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: DermatographiaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-17
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-14 | Successful 2022-10-17 |
Participant prefers to complete VAERS report online |
Free text
Release 12 — day 14, dose 4
Symptoms: Itchiness, scratch like rashes
Release 12 — day 21, dose 4
Symptoms: Itchy all over, scratch like rashes that come and go
Release 12 — day 28, dose 4
Symptoms: Dermatographia
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 | Mechanical urticaria | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Scratch | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release