Y9T-56077-14990
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 019 / MA
- Registered
- 2020-12-29
- Relationship
- Self
Timeline
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2020-12-28
Dose 1 — Moderna
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2020-12-29
Registered in v-safe
- 2020-12-29
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, NauseaAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-05
- 2021-01-20
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2021-01-21
Dose 2 — Moderna
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · None · Be unable to workAdult check-in
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2021-01-28
Survey response — day 7, dose 2MedDRA: Urticaria — Feeling: Poor · 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: Recurrent hivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-06
Survey response — day 14, dose 2MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diffuse hives treating with antihistamines. Not getting better. Dr. Ordered prenisone burst- when done it came back. Now the doctor ordered a prednisone taper.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-19
Survey response — day 28, dose 2MedDRA: Immunisation reaction, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Still getting hives everyday. On zyrtec 2x day now. Makes it better but not gone. I got my 2nd moderna dose on Jan 21st. So it has been almost a month. I hope this ends soon. I am definitely allergic to something in the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
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2021-06-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-25 | Successful | Participant prefers to complete VAERS report online |
| 2021-01-28 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-06 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-19 | Successful 2021-06-03 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Hives
Release 3 — day 7, dose 2
Systemic reaction (other): Recurrent hives
Release 3 — day 14, dose 2
Symptoms: Diffuse hives treating with antihistamines. Not getting better. Dr. Ordered prenisone burst- when done it came back. Now the doctor ordered a prednisone taper.
Release 4 — day 28, dose 2
Symptoms: Still getting hives everyday. On zyrtec 2x day now. Makes it better but not gone. I got my 2nd moderna dose on Jan 21st. So it has been almost a month. I hope this ends soon. I am definitely allergic to something in the vaccine.
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release