ZSC-11872-63937
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
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2021-04-19
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Rash erythematous, Rash pruritic — Feeling: FairFree text: Itchy, red rash, and swelling at the injection site. This occurred about 9 days after I received the vaccine, and lasted for several days. It appears to have cleared up now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-05-03
Dose 2 — Moderna
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2021-05-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2021-11-01
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2021-11-03
Dose 3 — Moderna
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2021-11-03
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Abdominal painAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-08
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-11-10
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2021-11-17
Survey response — day 14, dose 3MedDRA: Fatigue, Rash, Rash erythematous, Rash pruritic — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe red itchy rash all over my body. Extreme fatigue.MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Survey response — day 21, dose 3MedDRA: Erythema, Pruritus, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I have had severe hives for 11 days now. I got my Moderna booster on 11/3/21. My skin looks really red with welts, itches terribly.MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-01
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2021-12-08
Survey response — day 35, dose 3MedDRA: Office visit, Pruritus, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: The hives that I have been experiencing are still on going. They started not long after I got my covid 19 booster. It has been almost a month of hives multiple times a day. The itching is terrible. · Healthcare visit (other): An allergy specialistMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-09
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2021-12-15
Survey response — day 42, dose 3MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chronic HivesMedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-16
- 2022-01-13
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-24 | Unsuccessful | |
| 2021-12-08 | Unsuccessful | |
| 2021-12-15 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Itchy, red rash, and swelling at the injection site. This occurred about 9 days after I received the vaccine, and lasted for several days. It appears to have cleared up now.
Release 10 — day 14, dose 3
Symptoms: Severe red itchy rash all over my body. Extreme fatigue.
Release 10 — day 21, dose 3
Symptoms: I have had severe hives for 11 days now. I got my Moderna booster on 11/3/21. My skin looks really red with welts, itches terribly.
Release 10 — day 35, dose 3
Symptoms: The hives that I have been experiencing are still on going. They started not long after I got my covid 19 booster. It has been almost a month of hives multiple times a day. The itching is terrible.
Healthcare visit (other): An allergy specialist
Release 10 — day 42, dose 3
Symptoms: Chronic 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release