YFD-43592-54548
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 114 / NY
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Moderna
-
2021-04-30
Survey response — day 0, dose 1MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Systemic reaction (other): No · Healthcare visit (other): NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 0, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Unsuccessful |
Free text
Release 8 — day 0, 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 | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release