7H9-21895-44643
4 vaccinations
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2022-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-27
Dose 2 — Moderna
-
2021-11-06
Dose 3 — Moderna
-
2022-03-21
Registered in v-safe
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid in January 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-09-24
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-07
-
2022-11-07
Survey response — 12 months, dose 3MedDRA: Gestational hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Gestational hypertensionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-11-08
-
2022-11-08
Call successfulNot applicable - Accidental Reporting
- 2022-12-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | No |
| 2 | 2021-03-27 | Moderna | No |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-09-24 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-07 | Successful 2022-11-08 |
Not applicable - Accidental Reporting |
Free text
Release 11 — 6 months, dose 3
Symptoms: Covid in January 2022
Release 12 — 12 months, dose 3
Symptoms: Gestational hypertension
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 | COVID-19 | · | · | ✓ |
| SD | Gestational hypertension | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release