8VC-11110-16164
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 171 / PA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-01-31
- 2021-02-02
- 2021-02-05
- 2021-02-11
- 2021-02-20
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-29
- 2021-08-26
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Mechanical urticaria, Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dermatographia/hives · Healthcare visit (other): Met with allergist in officeMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Heartburn
Release 11 — 12 months, dose 2
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 | Office visit | · | · | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release