2NL-40331-33441
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-01-28
Dose 2 — Moderna
-
2021-02-06
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Just very tired the day after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
-
2021-07-31
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got a cold but tested neg. for Covid while on a trip to Europe in July still have a few symptoms in addition to what I think was food poisoningMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-22
Dose 3 — Moderna
- 2021-10-22
- 2021-10-23
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-31
- 2021-11-05
- 2021-11-12
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: COVID-19, Chills, Cough, Headache, Nausea, Office visit, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Tested positive for Covid on December 20,2021. Got several symptoms. Nausea cough, body aches, headaches, chills light fever · Healthcare visit (other): Treated at a Covid specific clinicMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-25
Call successfulCompleted over the phone
-
2022-10-22
Survey response — 12 months, dose 3MedDRA: Infection, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Urinary tract infection · Healthcare visit (other): In Italy I could get antibiotics based on a previous infection from my regular pharmacyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-24
-
2022-10-24
Callback requested for06:15PM ET
-
2022-10-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Just very tired the day after vaccine
Release 9 — 6 months, dose 2
Symptoms: I got a cold but tested neg. for Covid while on a trip to Europe in July still have a few symptoms in addition to what I think was food poisoning
Release 11 — 3 months, dose 3
Symptoms: Tested positive for Covid on December 20,2021. Got several symptoms. Nausea cough, body aches, headaches, chills light fever
Healthcare visit (other): Treated at a Covid specific clinic
Release 12 — 12 months, dose 3
Symptoms: Urinary tract infection
Healthcare visit (other): In Italy I could get antibiotics based on a previous infection from my regular pharmacy
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 | COVID-19 | · | · | ✓ |
| HCVO | Infection | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release