S94-14029-78941
1 vaccination
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2021-01-01
- 2021-01-03
- 2021-07-01
-
2021-12-31
Survey response — 12 months, dose 1MedDRA: Anaemia, Hernia, Surgery, Transfusion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Surgery for a hernia, anemia, blood transfusionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — 12 months, dose 1
Symptoms: Surgery for a hernia, anemia, blood transfusion
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 | Anaemia | · | · | ✓ |
| SD | Hernia | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Transfusion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release