45N-61109-22907
3 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 779 / TX
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Cough, Myalgia, Oropharyngeal pain — Feeling: GoodFree text: Cough, sore throat, muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Dose 2 — Moderna
- 2021-02-11
- 2021-02-19
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-11-06
- 2021-11-13
- 2021-11-18
- 2021-11-25
- 2021-12-04
- 2021-12-09
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Hyperhidrosis — Feeling: FairFree text: Excessive sweatingMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Survey response — 6 months, dose 3MedDRA: Chest pain, Dyspnoea — Feeling: Poor · 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: Chest pain, shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-30 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Cough, sore throat, muscle aches
Release 11 — 3 months, dose 3
Symptoms: Excessive sweating
Release 11 — 6 months, dose 3
Symptoms: Chest pain, shortness of breath
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 | Chest pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release