Z9P-33422-34568
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 521 / IA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
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2021-03-12
Dose 2 — Moderna
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2021-04-05
Registered in v-safe
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2021-04-05
Survey response — day 21, dose 2MedDRA: Self-medication, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have had hives everyday since 2 weeks after my first dose. To control the hives I have to take allergy pills & antacid pills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — day 28, dose 2MedDRA: Self-medication, Swelling face, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had extreme facial swelling. Have been struggling with hives since Feb. 22 (appx 2 weeks after my 1st dose). I am now taking prednisone, 2 allergy pills, & 2 antacid pills to keep the hives under control. No 1 seems to know what 2 do.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
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2021-04-23
Survey response — day 42, dose 2MedDRA: Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I completed my prednisone prescription & the hives came back. Went to the doctor & added Singular. Am now taking antacid (20mg), Claritin (20mg), & Singular (10mg). Plus topical treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-06-22
- 2021-09-10
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Unsuccessful | |
| 2021-04-09 | Unsuccessful | |
| 2021-04-23 | Unsuccessful |
Free text
Release 6 — day 21, dose 2
Symptoms: I have had hives everyday since 2 weeks after my first dose. To control the hives I have to take allergy pills & antacid pills.
Release 7 — day 28, dose 2
Symptoms: I had extreme facial swelling. Have been struggling with hives since Feb. 22 (appx 2 weeks after my 1st dose). I am now taking prednisone, 2 allergy pills, & 2 antacid pills to keep the hives under control. No 1 seems to know what 2 do.
Release 7 — day 42, dose 2
Symptoms: I completed my prednisone prescription & the hives came back. Went to the doctor & added Singular. Am now taking antacid (20mg), Claritin (20mg), & Singular (10mg). Plus topical treatment.
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 | Self-medication | ✓ | ✓ | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release