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Z5C-22880-36352

1 vaccination 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
284 / NC
Registered
2021-01-28
Relationship
Self

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1350903 (opens in a new window) high 10 / 11 1 2 of 7 VAERS symptoms same dose (1) NC matches 2021-01-19 / 2021-01-19 / 2021-05-26
received the same day as the last call
case 124556

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Survey response — day 7, dose 1
    MedDRA: Medical counselling, Rash, Throat tightness — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): after shot got tightness of throat and used inhaler. Had used benadryl before shot due to hx allergic rxns in past with Tp vax. & had to continue using benadryl & inhaler 2 days. On 3rd day stopped these meds and got rash on chest & tightness of throat. Should I received 2nd shot- it was in drive thru. Could you help me transfer that appt to another more medical center? My allergist says he can pretreat with other meds but still recommends if I decide to have it, should be in medical center. · Healthcare visit (other): saw allergist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-26
  8. 2021-05-26
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-28 Successful
2021-05-26
Completed over the phone

Free text

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): after shot got tightness of throat and used inhaler. Had used benadryl before shot due to hx allergic rxns in past with Tp vax. & had to continue using benadryl & inhaler 2 days. On 3rd day stopped these meds and got rash on chest & tightness of throat. Should I received 2nd shot- it was in drive thru. Could you help me transfer that appt to another more medical center? My allergist says he can pretreat with other meds but still recommends if I decide to have it, should be in medical center.
Healthcare visit (other): saw allergist

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓

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