3WF-13133-21464
2 vaccinations
0 coded responses
6 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 112 / NY
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-02-10
Dose 2 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-18
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-02-24
- 2021-03-03
- 2021-03-12
- 2021-03-17
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | priority 2/3 |
Free text
None.
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
No MedDRA codes.