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ZBC-29217-37622

3 vaccinations 12 coded responses 40 check-ins 12 free-text entries 7 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
200 / DC
Registered
2021-02-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Registered in v-safe
  2. 2021-02-20
    Dose 1 — Moderna
  3. 2021-02-20
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Epistaxis — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Nose bleed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  7. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  8. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-27
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Moderate to severe pain in left axillary lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-06
    Survey response — day 14, dose 1
    MedDRA: Malaise — Feeling: Fair
    Free text: General malaise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-20
    Dose 2 — Moderna
  14. 2021-03-20
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  18. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  19. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-17
    Survey response — day 28, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen/painful lymph nodes in neck and axilla yesterday. Neck is better today. Axillary lymph nodes still a little painful today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-09
    Dose 3 — Moderna
  29. 2021-12-09
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  30. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Nausea
    Adult check-in
  32. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  33. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  34. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  35. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  36. 2021-12-16
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-23
    Survey response — day 14, dose 3
    MedDRA: Pruritus, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Hives over my whole body. Started getting itchy Sunday night 12/19, was itchy everywhere 12/20, broke out in body-wide hives 12/21 that persist to today 12/23.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-23
    Report sent to call center — day 14, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  39. 2021-12-27
  40. 2021-12-30
    Survey response — day 21, dose 3
    MedDRA: Urticaria, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Continued having hives over my whole body. Also had vertigo the past few days - since Monday 12/27
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-01-06
    Survey response — day 28, dose 3
    MedDRA: Acupuncture, Loss of personal independence in daily activities, Self-medication, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have maintained body-wide hives since the evening of 12/19 through to today 1/6. I am dependent on Benadryl to function & perform normal daily activities. Without Benadryl I would not be able to work or function. · Healthcare visit (other): Acupuncture
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-01-06
    Report sent to call center — day 28, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  43. 2022-01-07
  44. 2022-01-13
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Poor quality sleep, Self-medication, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Consistent whole-body hives since 12/19/21 to today 1/13/22. Hives have not stopped or slowed. They do not follow a clothing pattern. They respond to Benadryl but not to prednisone. My sleep quality is very poor from hives causing fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-01-13
    Report sent to call center — day 35, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  46. 2022-01-20
    Survey response — day 42, dose 3
    MedDRA: Self-medication, 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 visit
    Free text: I have had whole body hives from 12/19/21 through to today (1/20/22). The hives do not follow a clothing pattern. Benadryl helps relieve the worst of the symptoms. Prednisone has no effect. I would not be able to function without Benadryl.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-01-20
    Report sent to call center — day 42, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  48. 2022-01-21
  49. 2022-01-26
  50. 2022-03-10
    Survey response — 3 months, dose 3
    MedDRA: Immunisation reaction, Medical counselling, Nausea, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I continue to have full-body hives which started 12/19/21. I still have hives over my whole body every day and have nausea when the hives flare up strongly. My allergist believes that the reaction is in response to my booster shot on 12/9/21.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-03-10
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  52. 2022-03-14
    Call successful
    Reported to VAERS during previous contact from GDIT
  53. 2022-06-09
    Survey response — 6 months, dose 3
    MedDRA: Discomfort, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I continue to have hives over my whole body which started after my covid booster shot. They are incredibly uncomfortable and I require medication.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-06-09
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  55. 2022-06-10
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  56. 2022-12-09
    Survey response — 12 months, dose 3
    MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I continue to have body-wide hives
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-12-09
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  58. 2022-12-12

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna
32021-12-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-23 Successful Reported to VAERS during previous contact from GDIT
2022-01-06 Successful Reported to VAERS during previous contact from GDIT
2022-01-13 Successful Reported to VAERS during previous contact from GDIT
2022-01-20 Successful Reported to VAERS during previous contact from GDIT
2022-03-10 Successful
2022-03-14
 Reported to VAERS during previous contact from GDIT
2022-06-09 Successful
2022-06-10
 Reported to VAERS voluntarily prior to GDIT contact
2022-12-09 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Nose bleed

Release 4 — day 7, dose 1

2021-02-27

Systemic reaction (other): Moderate to severe pain in left axillary lymph nodes

Release 5 — day 14, dose 1

2021-03-06

Symptoms: General malaise

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Swollen/painful lymph nodes in neck and axilla yesterday. Neck is better today. Axillary lymph nodes still a little painful today.

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Hives over my whole body. Started getting itchy Sunday night 12/19, was itchy everywhere 12/20, broke out in body-wide hives 12/21 that persist to today 12/23.

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Continued having hives over my whole body. Also had vertigo the past few days - since Monday 12/27

Release 10 — day 28, dose 3

2022-01-06

Symptoms: I have maintained body-wide hives since the evening of 12/19 through to today 1/6. I am dependent on Benadryl to function & perform normal daily activities. Without Benadryl I would not be able to work or function.
Healthcare visit (other): Acupuncture

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Consistent whole-body hives since 12/19/21 to today 1/13/22. Hives have not stopped or slowed. They do not follow a clothing pattern. They respond to Benadryl but not to prednisone. My sleep quality is very poor from hives causing fatigue.

Release 10 — day 42, dose 3

2022-01-20

Symptoms: I have had whole body hives from 12/19/21 through to today (1/20/22). The hives do not follow a clothing pattern. Benadryl helps relieve the worst of the symptoms. Prednisone has no effect. I would not be able to function without Benadryl.

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: I continue to have full-body hives which started 12/19/21. I still have hives over my whole body every day and have nausea when the hives flare up strongly. My allergist believes that the reaction is in response to my booster shot on 12/9/21.

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: I continue to have hives over my whole body which started after my covid booster shot. They are incredibly uncomfortable and I require medication.

Release 12 — 12 months, dose 3

2022-12-09

Symptoms: I continue to have body-wide hives

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
HCVOAcupuncture · · ✓
SDDiscomfort · · ✓
SDFatigue · · ✓
SDImmunisation reaction · · ✓
SDLoss of personal independence in daily activities · · ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMedical counselling · · ✓
SDNausea · · ✓
SDPoor quality sleep · · ✓
SDPruritus · · ✓
SDSelf-medication · · ✓
SDUrticaria · · ✓
SDVertigo · · ✓
SROAxillary pain ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓

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

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