353-28038-42008
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 330 / FL
- Registered
- 2021-09-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-03
Dose 1 — Moderna
-
2021-09-04
Dose 2 — Moderna
-
2021-09-13
Registered in v-safe
- 2021-09-13
-
2021-09-18
Survey response — day 14, dose 2MedDRA: Arthralgia, Chills, Diarrhoea, Nausea, Pain, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Nausea, chills, vomiting, diarrhea, body & joint sorenessMedDRA releases: 2024-11 · check-in free text available
-
2021-09-18
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-20
- 2021-09-27
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-12-06
- 2022-03-05
- 2022-09-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-03 | Moderna | No |
| 2 | 2021-09-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-18 | Unsuccessful |
Free text
Release 9 — day 14, dose 2
Symptoms: Nausea, chills, vomiting, diarrhea, body & joint soreness
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 | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release