2GS-44251-16187
1 vaccination
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 014 / MA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-04
-
2021-01-12
Survey response — day 14, dose 1MedDRA: COVID-19 — Feeling: Poor · Be unable to workFree text: Covid positive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
-
2021-01-19
Survey response — day 21, dose 1MedDRA: COVID-19, Chills, Dyspnoea, Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I have covid. Nausea, fatigue, chills, mild shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
-
2021-12-29
Survey response — 12 months, dose 1MedDRA: Benign hydatidiform mole, Surgery — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Complete molar pregnancy · Healthcare visit (other): Same day surgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2021-12-29 | Successful 2021-12-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 14, dose 1
Symptoms: Covid positive.
Release 2 — day 21, dose 1
Symptoms: I have covid. Nausea, fatigue, chills, mild shortness of breath
Release 10 — 12 months, 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 | Surgery | · | · | ✓ |
| SD | Benign hydatidiform mole | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release