29G-15723-06907
4 vaccinations
6 coded responses
54 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 805 / CO
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
S89-33154-11446
Child or adolescent in my care · Female · 2022-06-20
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
-
2021-02-27
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
-
2021-03-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
-
2021-11-24
Survey response — day 28, dose 3MedDRA: Headache, Respiratory tract congestion, Throat irritation — Feeling: FairFree text: I think I just have a general head cold. Headache, congestion, scratchy throat.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, Sinusitis — Feeling: FairFree text: Getting over a cold with sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Nasopharyngitis, Sinusitis — Feeling: FairFree text: Cold, Sinus infection. Lingering for the past 2 weeks.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-04-27
-
2022-10-23
Dose 4 — Moderna
- 2022-10-23
-
2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: Sneezing — Feeling: Good · Site: PainFree text: Frequent sneezing this morning, not normal for me, but went away as the day progressed.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-29
-
2022-10-30
Survey response — day 7, dose 4MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: Took a nap and woke up with a coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2022-11-27
- 2022-12-04
-
2023-01-22
Survey response — 3 months, dose 4MedDRA: Back pain, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-22 | Unsuccessful |
Free text
Release 10 — day 28, dose 3
Symptoms: I think I just have a general head cold. Headache, congestion, scratchy throat.
Release 10 — day 35, dose 3
Symptoms: Getting over a cold with sinus infection
Release 10 — day 42, dose 3
Symptoms: Cold, Sinus infection. Lingering for the past 2 weeks.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Frequent sneezing this morning, not normal for me, but went away as the day progressed.
Release 12 — day 7, dose 4
Systemic reaction (other): Took a nap and woke up with a cough
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 | Back pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release