34K-22324-27004
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 302 / GA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-13
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Dizziness, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea, vomiting, dizziness, headache almost had to call outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — day 21, dose 1MedDRA: Cough, Dizziness, Headache, Nausea — Feeling: Fair · 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: Barking cough, dizziness, headache, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-02-03
- 2021-02-12
- 2021-02-17
-
2021-07-07
Survey response — 6 months, dose 1MedDRA: Bronchitis, Pneumonia, Sepsis, Upper respiratory tract infection — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Pneumonia and sepsis Bronchitis and upper respiratory infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Report sent to call center — 6 months, 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)
- 2021-07-09
-
2022-01-08
Survey response — 12 months, dose 1MedDRA: Cough, Dyspnoea, Pre-existing disease — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Asthma Chronic SOB and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-08
Report sent to call center — 12 months, dose 1Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-10
-
2022-11-30
Call successfulDoes not wish to fill out VAERS report
-
2022-11-30
Call successfulDoes not wish to fill out VAERS report
-
2022-11-30
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-27 | Successful 2022-11-30 |
Does not wish to fill out VAERS report |
| 2021-07-07 | Successful 2022-11-30 |
Does not wish to fill out VAERS report |
| 2022-01-08 | Successful 2022-11-30 |
Does not wish to fill out VAERS report |
Free text
Release 2 — day 14, dose 1
Symptoms: Nausea, vomiting, dizziness, headache almost had to call out
Release 2 — day 21, dose 1
Symptoms: Barking cough, dizziness, headache, nausea
Release 9 — 6 months, dose 1
Symptoms: Pneumonia and sepsis Bronchitis and upper respiratory infection
Release 10 — 12 months, dose 1
Symptoms: Asthma Chronic SOB and cough
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 | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sepsis | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release