ZUB-86658-69922
2 vaccinations
8 coded responses
21 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
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2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
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2021-02-11
Survey response — day 21, dose 1MedDRA: Medical counselling, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Hives · Healthcare visit (other): Email consult with nurse at drs office and 2 in person consults with pharmacistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-19
Survey response — day 28, dose 1MedDRA: Medical counselling, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The hives that started two weeks ago have not gone away. In fact, they have spread. Im scheduled to get second vaccination in two days (Sunday, 2/21). · Healthcare visit (other): Consulted with a pharmacist, a friend who is my prior nurse, as well as my doctor by email. I might try to go to a walk-in clinic tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-21
Dose 2 — Moderna
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2021-02-21
Survey response — day 0, dose 2MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · 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 hives which began about 16-17 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tirednessFree text: Hives, which I started about 2 weeks before receiving second covid-19 vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Urticaria — Feeling: Good · Fatigue or tirednessFree text: I still have hives, and associated pain/discomfort from them. They began about 2 weeks after first vaccine shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: FairFree text: Hives, duration: 3 weeks, doctor does not think related to covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymphoedema, Urticaria — Feeling: FairFree text: Hives or possible lymphedema, it maybe unrelated to vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hives or possible lymphedema, likely unrelated to vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-07
- 2021-05-23
- 2021-07-22
- 2021-08-22
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-21 | Moderna |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
Symptoms: Hives
Healthcare visit (other): Email consult with nurse at drs office and 2 in person consults with pharmacist
Release 4 — day 28, dose 1
Symptoms: The hives that started two weeks ago have not gone away. In fact, they have spread. Im scheduled to get second vaccination in two days (Sunday, 2/21).
Healthcare visit (other): Consulted with a pharmacist, a friend who is my prior nurse, as well as my doctor by email. I might try to go to a walk-in clinic tomorrow.
Release 4 — day 0, dose 2
Systemic reaction (other): I have hives which began about 16-17 days ago.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Hives, which I started about 2 weeks before receiving second covid-19 vaccination
Systemic reaction (other): I still have hives, and associated pain/discomfort from them. They began about 2 weeks after first vaccine shot.
Systemic reaction (other): Hives, duration: 3 weeks, doctor does not think related to covid vaccine
Systemic reaction (other): Hives or possible lymphedema, it maybe unrelated to vaccination
Release 4 — day 7, dose 2
Systemic reaction (other): Hives or possible lymphedema, likely unrelated to vaccination
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Lymphoedema | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release