4KS-19063-73620
4 vaccinations
2 coded responses
28 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 027 / MA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
M8W-25564-78410
Child or adolescent in my care · Female · 2022-06-26
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-20
Registered in v-safe
-
2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Tested positive for Covid 19 on 1/22/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
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)
-
2021-01-26
Survey response — day 7, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Tested positive for Covid 1/22/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-02-04
- 2021-02-09
-
2021-02-12
Dose 2 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-14
- 2021-03-21
- 2021-03-26
- 2021-05-16
- 2021-08-14
-
2021-11-11
Dose 3 — Moderna
- 2022-02-13
-
2022-10-01
Dose 4 — ModernaCo-administered: Other
- 2022-10-01
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-04
- 2022-10-05
- 2022-10-07
- 2022-10-10
- 2022-10-17
- 2022-10-22
- 2022-10-29
- 2022-11-12
- 2023-01-02
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-10-01 | Moderna | Other |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-24 | priority 2/3 | |
| 2021-01-26 | priority 2/3 |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Tested positive for Covid 19 on 1/22/21
Release 2 — day 7, dose 1
Systemic reaction (other): Tested positive for Covid 1/22/21
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 |
|---|---|---|---|---|
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release