4SQ-31412-21781
3 vaccinations
5 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
- 2021-01-08
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Congestion, runny nose, and headacheMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-27
Dose 3 — Moderna
-
2022-01-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Body aches, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-31
-
2022-02-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-02-03
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-02-10
- 2022-02-17
- 2022-02-24
-
2022-03-03
Survey response — day 35, dose 3MedDRA: Fatigue, Feeling abnormal, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold symptoms: fatigue, runny nose, just feeling bad overallMedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
- 2022-04-30
-
2022-07-28
Survey response — 6 months, dose 3MedDRA: Abdominal pain upper, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, congestion, stomach painMedDRA releases: 2024-11 · check-in free text available
-
2023-01-29
Survey response — 12 months, dose 3MedDRA: Cough, Ear infection, Pyrexia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-29
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2022-01-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-29 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Congestion, runny nose, and headache
Release 11 — 12 months, dose 2
Symptoms: Body aches, congestion, cough
Release 11 — day 35, dose 3
Symptoms: Cold symptoms: fatigue, runny nose, just feeling bad overall
Release 12 — 6 months, dose 3
Symptoms: Sore throat, congestion, stomach pain
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 | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release