WVZ-15804-53953
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 352 / AL
- Registered
- 2022-01-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Registered dependents
HN5-21209-18900
Other · Female · 2022-01-13
Timeline
-
2022-01-10
Dose 1 — ModernaCo-administered: Do not remember:Flu:HPV:Meningitis:Other:Pneumonia:Shingles:Tetanus
-
2022-01-13
Registered in v-safe
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2022-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2022-01-13
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2022-01-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2022-01-16
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-18
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2022-01-24
Survey response — day 14, dose 1MedDRA: No adverse event — Feeling: GoodFree text: GoodMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Dose 2 — ModernaCo-administered: Do not remember
- 2022-02-02
-
2022-02-02
Survey response — day 21, dose 1MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Hey · Healthcare visit (other): JasmineMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-02-03
- 2022-02-07
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2022-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-10 | Moderna | Do not remember:Flu:HPV:Meningitis:Other:Pneumonia:Shingles:Tetanus |
| 2 | 2022-02-02 | Moderna | Do not remember |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-13 | Unsuccessful | |
| 2022-01-15 | Unsuccessful | |
| 2022-01-16 | Unsuccessful | |
| 2022-02-02 | Unsuccessful |
Free text
Release 11 — day 14, dose 1
Symptoms: Good
Release 11 — day 21, dose 1
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | No adverse event | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release