EA3-23113-55742
2 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 925 / CA
- Registered
- 2021-08-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-03
Dose 1 — Moderna
-
2021-08-12
Registered in v-safe
- 2021-08-12
- 2021-08-17
- 2021-08-24
-
2021-08-31
Dose 2 — Moderna
- 2021-08-31
- 2021-09-08
- 2021-09-14
-
2021-09-21
Survey response — day 21, dose 2MedDRA: Influenza, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: FluUrinary Tract InfectionMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-24
- 2021-09-28
- 2021-10-05
- 2021-10-14
- 2021-12-02
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-03 | Moderna | No |
| 2 | 2021-08-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 21, dose 2
Symptoms: FluUrinary Tract Infection
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 | Influenza | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release