3ZJ-64487-31649
4 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 916 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-10
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Abdominal painAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-04-01
-
2021-04-06
Survey response — day 42, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a cold which I was coughing, sneezing, had running nose and sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Soar throat, running nose, coughing, and sleep problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-24
-
2021-11-21
Dose 3 — Pfizer-BioNTech
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Chills, Cough, Diarrhoea, Fatigue, Myalgia, Oropharyngeal 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 consultationFree text: Covid symptoms such as chills, sore throat, fatigue, muscle pain, diarrhea, coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-02-23
Report sent to call center — 12 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 · 1 call case(s)
- 2022-02-25
-
2022-09-17
Dose 4 — Pfizer-BioNTechCo-administered: Flu
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
| 4 | 2022-09-17 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-23 | Unsuccessful |
Free text
Release 7 — day 42, dose 2
Symptoms: I had a cold which I was coughing, sneezing, had running nose and sore throat.
Release 8 — 3 months, dose 2
Symptoms: Soar throat, running nose, coughing, and sleep problems
Release 11 — 12 months, dose 2
Symptoms: Covid symptoms such as chills, sore throat, fatigue, muscle pain, diarrhea, coughing
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 | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release