3W6-29355-06695
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Forgot to report Sore throat yesterday 1/9/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-15
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: GoodFree text: I had full body itchy a few hours after the shot, but it self resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-26
Call successfulParticipant prefers to complete VAERS report online
-
2021-02-08
Dose 2 — Moderna
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Sore throat, dizziness,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Premature labour — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · HospitalizationFree text: Monitored for preterm laborMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
-
2022-02-08
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: PoorFree text: I have Covid nowMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Successful | Participant prefers to complete VAERS report online |
| 2021-01-12 | Successful 2021-01-26 |
Participant prefers to complete VAERS report online |
| 2021-02-10 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Forgot to report Sore throat yesterday 1/9/21
Release 2 — day 7, dose 1
Systemic reaction (other): I had full body itchy a few hours after the shot, but it self resolved
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, dizziness,
Release 4 — days 1–6 daily, dose 2
Healthcare visit (other): Monitored for preterm labor
Systemic reaction (other): Dizziness
Release 11 — 12 months, dose 2
Symptoms: I have Covid now
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 |
|---|---|---|---|---|
| HCVO | Premature labour | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release