365-24829-35987
2 vaccinations
1 coded response
22 check-ins
1 free-text entry
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 761 / TX
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
-
2021-03-20
Health check-in — 0 day, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Report sent to call center — 0 day, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-12
-
2021-04-14
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
-
2021-04-17
Dose 2 — Moderna
-
2021-04-17
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · 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
- 2021-05-03
- 2021-05-08
-
2021-05-15
Survey response — 28 day, dose 2MedDRA: Bronchitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-15
Report sent to call center — 28 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-18
- 2021-05-22
- 2021-05-29
- 2021-07-17
- 2021-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | priority 2/3 | |
| 2021-03-21 | priority 2/3 | |
| 2021-05-15 | Unsuccessful |
Free text
Release 8
Symptoms: Bronchitis
Free-text releases are not linked to a specific 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 | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release