2LD-21070-33914
2 vaccinations
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 136 / NY
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 2 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache and sore neck on 1/28/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-07-28
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Chest pain, Costochondritis, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain and costrocondritis following COVID Booster 12/2/21 with periods of tachycardia.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-27 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Headache and sore neck on 1/28/2021
Release 11 — 12 months, dose 2
Symptoms: Chest pain and costrocondritis following COVID Booster 12/2/21 with periods of tachycardia.
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 | Chest pain | · | · | ✓ |
| SD | Costochondritis | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release