2GC-31386-12397
3 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-10-27
- Relationship
- Adult relative or friend
- Guardian
- Y4Q-15980-91392
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-02-09
Dose 2 — Moderna
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Registered in v-safe
-
2021-10-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-30
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3, dependentMedDRA: Cough — Feeling: GoodFree text: Occasional nonproductive cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
-
2022-10-26
Survey response — 12 months, dose 3, dependentMedDRA: General physical health deterioration, Hospice care — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Placed in in-home hospice 10/16/22. Steadily declining. · Healthcare visit (other): Transferred to inpatient hospice today.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 12 months, dose 3, dependentGet care from a doctor or other healthcare professional1 call case(s)
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | No |
| 2 | 2021-02-09 | Moderna | No |
| 3 | 2021-10-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-26 | Unsuccessful |
Free text
Release 11 — 3 months, dose 3, dependent
Symptoms: Occasional nonproductive cough.
Release 12 — 12 months, dose 3, dependent
Symptoms: Placed in in-home hospice 10/16/22. Steadily declining.
Healthcare visit (other): Transferred to inpatient hospice today.
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 | Hospice care | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | General physical health deterioration | · | · | ✓ |
| SD | Hospice care | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release