ZH3-30143-65317
1 vaccination
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-05
- 2021-01-06
- 2021-01-06
- 2021-01-07
-
2021-01-07
Callback requested for8:00pm
-
2021-01-07
Call successfulCompleted over the phone
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
- 2021-04-03
-
2022-01-04
Survey response — 12 months, dose 1MedDRA: Mechanical urticaria, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hives and dermatographiaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-04 | Successful 2021-01-07 |
Completed over the phone |
Free text
Release 10 — 12 months, dose 1
Symptoms: Hives and dermatographia
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 | Mechanical urticaria | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release