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RC9-32781-25132

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
600 / IL
Registered
2021-12-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-09
    Dose 1 — Moderna
  2. 2021-10-13
    Dose 2 — Moderna
  3. 2021-12-09
    Registered in v-safe
  4. 2022-01-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  5. 2022-10-13
    Survey response — 12 months, dose 2
    MedDRA: Acute promyelocytic leukaemia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Diagnosed with APL leukemia February 7, 2022
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-10-13
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  7. 2022-10-14
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-09-09Moderna No
22021-10-13Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — 12 months, dose 2

2022-10-13

Symptoms: Diagnosed with APL leukemia February 7, 2022

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

FieldPreferred term2021-092023-042024-11
SDAcute promyelocytic leukaemia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release