2PX-14920-99459
3 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 581 / ND
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-09-23
-
2021-10-28
Dose 3 — Pfizer-BioNTech
- 2021-10-28
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Delivery, Fatigue — Feeling: Good · Fatigue or tirednessFree text: Newborn baby. Not sure if tired because of vaccine or baby.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-27
- 2021-12-02
- 2021-12-11
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Headache, Nasopharyngitis — Feeling: GoodFree text: Slight headache, cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: COVID-19, Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid. Stomach fluMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | priority 2/3 |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Newborn baby. Not sure if tired because of vaccine or baby.
Release 11 — 3 months, dose 3
Symptoms: Slight headache, cold symptoms
Release 11 — 6 months, dose 3
Symptoms: Covid. Stomach flu
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 | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Delivery | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release