X96-32972-52555
3 vaccinations
2 coded responses
27 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 891 / NV
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
- 2021-01-24
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-28
- 2021-03-12
- 2021-05-07
- 2021-08-06
- 2022-02-05
-
2022-03-24
Dose 3 — Moderna
-
2022-04-23
Survey response — day 28, dose 3MedDRA: Mechanical urticaria, Pruritus, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptomatic dermatographia since booster shot. Extreme itching, welts, hives, and wheals all over the body every day.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-25
Call successfulCompleted over the phone
- 2022-04-28
- 2022-05-05
-
2022-06-23
Survey response — 3 months, dose 3MedDRA: Pain of skin, Rash, Scratch, Sensitive skin, Skin tightness, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ongoing skin rash issues since booster. Any touch/pressure/scratch turns into a welt/hives on every part of my body . On daily allergy medication now.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-03-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 | |
| 2022-04-23 | Successful 2022-04-25 |
Completed over the phone |
| 2022-06-23 | Unsuccessful |
Free text
Release 11 — day 28, dose 3
Symptoms: Symptomatic dermatographia since booster shot. Extreme itching, welts, hives, and wheals all over the body every day.
Release 12 — 3 months, dose 3
Symptoms: Ongoing skin rash issues since booster. Any touch/pressure/scratch turns into a welt/hives on every part of my body . On daily allergy medication now.
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 | Pain of skin | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Scratch | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Skin tightness | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release