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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

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Asthma, Condition aggravated, Medical counselling, Nasopharyngitis, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Headache · Get care from a doctor or other healthcare professional
    Free 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
  4. 2021-01-22
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-21
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-03-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna

Call center

ReportedOutcomeVAERS-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

2021-01-22

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

FieldPreferred term2021-092023-042024-11
HCVOAsthma ✓ · ✓
HCVOMedical counselling ✓ · ✓
HCVOPre-existing disease ✓ · ✓
HCVOUnevaluable event ○ ✓ ○
SROAsthma ✓ ✓ ✓
SROCondition aggravated ○ ✓ ○
SRONasopharyngitis ✓ · ✓
SROPre-existing disease ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release