2QQ-16565-34484
4 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 017 / MA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6WP-22759-69447
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-04-17
Registered in v-safe
-
2021-04-17
Dose 1 — Moderna
- 2021-04-17
-
2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-05-15
Dose 2 — Moderna
- 2021-10-16
-
2021-11-22
Dose 3 — Moderna
- 2022-04-19
-
2022-09-09
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-19
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: I had covidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-14
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna | No |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-09 | Unsuccessful |
Free text
Release 12 — 3 months, dose 4
Symptoms: I had covid
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 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release