225-18022-01166
2 vaccinations
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 199 / DE
- Registered
- 2021-07-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-15
Dose 1 — Moderna
-
2021-07-13
Dose 2 — Moderna
-
2021-07-31
Registered in v-safe
- 2021-07-31
-
2021-08-04
Survey response — 21 day, dose 2MedDRA: Bite, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-04
Report sent to call center — 21 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-09
- 2021-08-10
- 2021-08-18
- 2021-08-25
- 2021-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-15 | Moderna | No |
| 2 | 2021-07-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-04 | Unsuccessful |
Free text
Release 9
Symptoms: I started with a bite like rash bilaterally on my torso only which worsened over 5 days
Healthcare visit (other): Doctors office
Free-text releases are not linked to a specific 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 | Bite | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release