4Y2-28028-29689
1 vaccination
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 984 / WA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Asthma, Condition aggravated, Medical counselling, Nasopharyngitis, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): The day after I had cold like symptoms and two days later I had a very severe asthma attack that my albuterol could not combat. The next day I began steroids to end the attack. · Healthcare visit (other): My father is a physician and was accessible the evening of the asthma attack.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
- 2021-02-21
-
2021-03-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-22 | Successful 2021-03-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): The day after I had cold like symptoms and two days later I had a very severe asthma attack that my albuterol could not combat. The next day I began steroids to end the attack.
Healthcare visit (other): My father is a physician and was accessible the evening of the asthma attack.
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 | Asthma | ✓ | · | ✓ |
| HCVO | Medical counselling | ✓ | · | ✓ |
| HCVO | Pre-existing disease | ✓ | · | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ○ | ✓ | ○ |
| SRO | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release