2PV-10428-69234
4 vaccinations
6 coded responses
35 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 452 / OH
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
-
2020-12-30
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Respiratory tract congestion, Sinus pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus pain, maxillary and frontal, minimal congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-13
Survey response — day 21, dose 1MedDRA: Chest pain, Sinus pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest pain and sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Dose 2 — Moderna
- 2021-01-19
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: PainFree text: Sore throat - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-20
-
2021-11-23
Dose 3 — Moderna
- 2022-01-19
-
2022-09-12
Dose 4 — Moderna
- 2022-09-12
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 4MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Had a baby 9/15/22MedDRA releases: 2024-11 · check-in free text available
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2022-12-12
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-06 | Successful 2022-12-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-01-13 | Successful 2022-12-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-12 | Successful 2022-12-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 1 — day 14, dose 1
Symptoms: Sinus pain, maxillary and frontal, minimal congestion.
Release 1 — day 21, dose 1
Symptoms: Chest pain and sinus pain
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat - mild
Systemic reaction (other): Sore throat - mild
Release 12 — 3 months, dose 4
Symptoms: Had a baby 9/15/22
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 | Delivery | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release