XUB-22008-63167
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 290 / SC
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-04-18
Registered in v-safe
-
2021-04-18
Survey response — 28 day, dose 1MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-18
Report sent to call center — 28 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
-
2021-04-26
Survey response — 42 day, dose 1MedDRA: Immunisation reaction, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-26
Report sent to call center — 42 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-28
- 2022-03-03
- 2022-03-08
- 2022-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-18 | Unsuccessful | |
| 2021-04-26 | Unsuccessful |
Free text
Release 7
Symptoms: 2 1/2 weeks after broke out in welts all over had to see dr and get injection of solu-medrol. Did get better after. Nothing else had changed in my food,soaps etc...
Healthcare visit (other): Regular doctor
Symptoms: I had welts 2 weeks after first. My doctor worried if first vaccine caused welts could be worse reaction with second vaccine. I am afraid now to get 2nd. Today is 42nd day since first so I think its been too long for 2nd. I need some advise,please
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release