YD6-31193-36956
1 vaccination
2 coded responses
6 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Survey response — day 7, dose 1MedDRA: Herpes zoster — 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 consultationFree text: Diagnosis of shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-02-25
- 2021-05-08
- 2021-08-02
- 2021-08-05
- 2021-08-05
-
2022-02-04
Survey response — 12 months, dose 1MedDRA: Twin pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Twin pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-04
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-02-07
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-13 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-04 | Successful 2022-02-07 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Diagnosis of shingles
Release 11 — 12 months, dose 1
Symptoms: Twin pregnancy
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 | Twin pregnancy | · | · | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release