WUC-24450-13339
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 195 / PA
- Registered
- 2021-11-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MW7-99500-38100
Child or adolescent in my care · Male · 2022-06-23
7TG-20747-05386
Child or adolescent in my care · Male · 2023-03-22
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-11-18
Dose 3 — Moderna
-
2021-11-19
Registered in v-safe
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-24
- 2021-11-25
-
2021-12-02
Survey response — day 14, dose 3MedDRA: Sinus congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-21
-
2022-11-18
Survey response — 12 months, dose 3MedDRA: Influenza — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: InfluenzaMedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-11-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | No |
| 2 | 2021-04-16 | Moderna | No |
| 3 | 2021-11-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-18 | Successful 2022-11-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 14, dose 3
Symptoms: Sinus congestion
Release 12 — 12 months, dose 3
Symptoms: Influenza
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 | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release