3XY-29017-59577
4 vaccinations
2 coded responses
33 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-30
Dose 2 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-08
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-11-04
Dose 3 — Moderna
- 2022-01-30
-
2022-04-10
Dose 4 — ModernaCo-administered: Shingles
- 2022-04-22
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-17
- 2022-05-24
- 2022-07-10
-
2022-10-09
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Good · 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 consultationFree text: Cough, congestion, fatigue, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
- 2022-10-11
-
2023-04-10
Survey response — 12 months, dose 4MedDRA: Plantar fasciitis, Tendon rupture — Feeling: Good · 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 visitMedDRA releases: 2024-11
-
2023-04-10
Report sent to call center — 12 months, dose 4Be 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)
- 2023-04-12
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-10 | Moderna | Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-09 | Unsuccessful | |
| 2023-04-10 | Unsuccessful |
Free text
Release 12 — 6 months, dose 4
Symptoms: Cough, congestion, fatigue, headache
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Plantar fasciitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Tendon rupture | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release