H4R-51870-91096
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-06
- 2021-04-14
-
2021-04-20
Dose 2 — Moderna
-
2021-04-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-22
- 2021-04-27
-
2021-05-04
Survey response — day 14, dose 2MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A rash in my groin areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
-
2021-05-13
Call successfulCompleted over the phone
- 2021-05-18
- 2021-05-25
- 2021-07-20
- 2021-10-19
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — day 14, dose 2
Symptoms: A rash in my groin area
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 | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release