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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

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-04-26
    Dose 2 — Moderna
  3. 2021-05-30
    Registered in v-safe
  4. 2021-05-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-06-07
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free text: Flu like
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-07
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-06-15
  9. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-07 Unsuccessful

Free text

Release 8 — day 42, dose 2

2021-06-07

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

FieldPreferred term2021-092023-042024-11
SDInfluenza like illness ✓ ✓ ✓

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