2X3-29714-07007
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 801 / CO
- Registered
- 2021-08-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-02
Registered in v-safe
-
2021-08-02
Dose 1 — Moderna
- 2021-08-02
-
2021-08-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-08-04
- 2021-08-06
- 2021-08-07
-
2021-08-09
Survey response — day 7, dose 1MedDRA: Erythema — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Facial rednessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-16
Survey response — day 14, dose 1MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid signsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Survey response — day 21, dose 1MedDRA: 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: CovidMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful |
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Facial redness
Release 9 — day 14, dose 1
Symptoms: Covid signs
Release 9 — day 21, dose 1
Symptoms: 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 | ✓ | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SRO | Erythema | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release