3X6-27628-46446
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 727 / AR
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 1 — Moderna
-
2021-05-18
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-05-20
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-03
- 2021-06-08
- 2021-06-15
-
2021-06-20
Dose 2 — Moderna
-
2021-06-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-06-23
-
2021-06-24
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat, CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: FairFree text: Sore throat, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
- 2021-06-27
- 2021-07-04
- 2021-07-12
- 2021-07-20
- 2021-07-27
- 2021-08-01
- 2021-09-19
- 2021-12-20
-
2022-06-20
Survey response — 12 months, dose 2MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Reoccurring hives · Healthcare visit (other): Dr Visit, Allergist and Dermatologists referrals.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Moderna | |
| 2 | 2021-06-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-20 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, Cough
Systemic reaction (other): Sore throat, cough
Release 12 — 12 months, dose 2
Symptoms: Reoccurring hives
Healthcare visit (other): Dr Visit, Allergist and Dermatologists referrals.
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 | Office visit | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release