W98-13111-17903
2 vaccinations
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-05-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
-
2021-05-30
Registered in v-safe
- 2021-05-30
- 2021-06-01
-
2021-06-07
Survey response — day 42, dose 2MedDRA: Influenza like illness — Feeling: Poor · 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 visitFree text: Flu likeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
- 2021-07-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-07 | Unsuccessful |
Free text
Release 8 — day 42, dose 2
Symptoms: Flu like
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 like illness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release