26A-22728-65562
2 vaccinations
1 coded response
10 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 616 / IL
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-22
- 2021-01-24
- 2021-01-26
-
2021-01-29
Health check-in — day 7, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 28, dose 1MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Got viral gastroenteritis from my sonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-02-18
Dose 2 — Moderna
- 2021-02-25
- 2021-03-04
- 2021-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-29 | priority 2/3 | |
| 2021-02-17 | priority 2/3 |
Free text
Release 4 — day 28, dose 1
Symptoms: Got viral gastroenteritis from my son
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 | Gastroenteritis viral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release