A55-69815-45950
3 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 296 / SC
- Registered
- 2021-11-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-04-02
Dose 2 — Moderna
-
2021-11-06
Dose 3 — Moderna
-
2021-11-08
Registered in v-safe
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-11-12
- 2021-11-15
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
-
2022-02-07
Survey response — 3 months, dose 3MedDRA: Ear infection — Feeling: Poor · Be unable to work or attend schoolFree text: Ear infectionsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
-
2022-11-07
Survey response — 12 months, dose 3MedDRA: Vaccination site cellulitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Cellulitises at the vaccine site had to take antibiotics.MedDRA 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 professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-08
-
2022-11-08
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | No |
| 2 | 2021-04-02 | Moderna | No |
| 3 | 2021-11-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — 3 months, dose 3
Symptoms: Ear infections
Release 12 — 12 months, dose 3
Symptoms: Cellulitises at the vaccine site had to take antibiotics.
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 | Ear infection | · | · | ✓ |
| SD | Vaccination site cellulitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release