X3P-29104-96486
2 vaccinations
0 coded responses
1 check-in
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 2 — Moderna
-
2021-04-18
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains · Be unable to workAdult check-in
- 2021-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-18 | priority 2/3 |
Free text
None.
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
No MedDRA codes.