AE5-72544-97317
1 vaccination
0 coded responses
1 check-in
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 846 / UT
- Registered
- 2021-09-23
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-09-23
Registered in v-safe
-
2021-09-23
Dose 1 — Moderna
-
2021-09-23
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-09-23
Report sent to call center — day 0, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-23 | Moderna | No |
Call center
1 call center case
1 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.