3JU-22884-14276
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 535 / WI
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
-
2021-05-07
Registered in v-safe
-
2021-05-07
Dose 2 — Moderna
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · DiarrheaAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-23
- 2021-05-30
-
2021-06-06
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-20
- 2021-08-06
-
2021-11-06
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Malaise, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Rhinorrhoea, Sinus pain — Feeling: Fair · 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: I got Covid in early September and had body aches, headaches, severe fatigue, loss of sense of smell and taste. I also was sick this month with a cold (stuffy and runny nose, sinus pain and pressure, sore throat, cough)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Report sent to call center — 6 months, dose 2Be 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)
- 2021-11-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-06 | Unsuccessful |
Free text
Release 8 — day 28, dose 2
Symptoms: Sore throat, runny nose
Release 10 — 6 months, dose 2
Symptoms: I got Covid in early September and had body aches, headaches, severe fatigue, loss of sense of smell and taste. I also was sick this month with a cold (stuffy and runny nose, sinus pain and pressure, sore throat, 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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release