57B-24306-48865
1 vaccination
0 coded responses
4 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 198 / DE
- Registered
- 2021-11-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-12
Dose 1 — Moderna
-
2021-11-13
Registered in v-safe
- 2021-11-13
- 2021-11-14
-
2021-11-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · HospitalizationAdult check-in
-
2021-11-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2021-11-16
- 2021-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-15 | Unsuccessful |
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.