3HQ-28349-36681
4 vaccinations
2 coded responses
31 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-05
-
2021-03-07
Dose 2 — Moderna
- 2021-03-10
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-06-06
-
2021-09-06
Survey response — 6 months, dose 2MedDRA: Cough, Fatigue, Nasopharyngitis, Pain, Respiratory tract congestion, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: bad cold. No fever. Not a lot of congestion but nightly cough. Tired. No loss of taste or smell. Started 13 days ago. 10 days ago tested negative. The last 4 days aches like a fever but no fever. Ibuprofen and Day and NyQuil. Shouldnt have workedMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-30
Dose 3 — Moderna
- 2022-03-07
-
2022-04-13
Dose 4 — Moderna
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: COVID-19, Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had Covid the last week of August. Tested negative eight days later. Three days after that I got a sinus infection that has lasted four weeks. Went to GP and was prescribed Augmentin yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-17
-
2022-10-25
Call successfulParticipant prefers to complete VAERS report online
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-07 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: bad cold. No fever. Not a lot of congestion but nightly cough. Tired. No loss of taste or smell. Started 13 days ago. 10 days ago tested negative. The last 4 days aches like a fever but no fever. Ibuprofen and Day and NyQuil. Shouldnt have worked
Release 12 — 6 months, dose 4
Symptoms: I had Covid the last week of August. Tested negative eight days later. Three days after that I got a sinus infection that has lasted four weeks. Went to GP and was prescribed Augmentin yesterday.
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 | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release