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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

  1. 2022-01-10
    Dose 1 — Moderna
    Co-administered: Do not remember:Flu:HPV:Meningitis:Other:Pneumonia:Shingles:Tetanus
  2. 2022-01-13
    Registered in v-safe
  3. 2022-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Chills, Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  4. 2022-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  5. 2022-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  6. 2022-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2022-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  8. 2022-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  9. 2022-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2022-01-24
    Survey response — day 14, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Good
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-02
    Dose 2 — Moderna
    Co-administered: Do not remember
  12. 2022-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  13. 2022-02-02
    Survey response — day 21, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Hey · Healthcare visit (other): Jasmine
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-02-02
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  15. 2022-02-03
  16. 2022-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  17. 2022-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-01-10Moderna Do not remember:Flu:HPV:Meningitis:Other:Pneumonia:Shingles:Tetanus
22022-02-02Moderna Do not remember

Call center

ReportedOutcomeVAERS-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

2022-01-24

Symptoms: Good

Release 11 — day 21, dose 1

2022-02-02

Symptoms: Hey
Healthcare visit (other): Jasmine

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
HCVOUnevaluable event · · ✓
SDNo adverse event · · ✓
SDUnevaluable event · · ✓

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