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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

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-04-18
    Registered in v-safe
  3. 2021-04-18
    Survey response — 28 day, dose 1
    MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-04-18
    Report sent to call center — 28 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-19
    Health check-in — 35 day, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-26
    Survey response — 42 day, dose 1
    MedDRA: Immunisation reaction, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-04-26
    Report sent to call center — 42 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-02-28
  9. 2022-03-03
  10. 2022-03-08
  11. 2022-03-17
    Health check-in — 12 month, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna

Call center

ReportedOutcomeVAERS-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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓

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