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55H-28027-61946

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
752 / TX
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Headache probably from allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Headache
    Adult check-in
  7. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Lower respiratory tract infection — Feeling: Good
    Free text: Chest cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-06
    Survey response — day 21, dose 1
    MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dry hacking cough, sinus drainage.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-20
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-27
    Dose 2 — Moderna
  15. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-29
    Survey response — 3 months, dose 2
    MedDRA: Cough, Disorientation, Dyspnoea, Office visit, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Unable to breath, severe chest congestion and sinus. Totally disoriented. Very scary. Zpak, steroids, increase inhaler strength. Still lingering minor cough, sinus and a little confusion. 2x COVID tests negative. Not one done at the emergency room. · Healthcare visit (other): office visit as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-29
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Paranasal sinus discomfort, Pre-existing disease — Feeling: Fair
    Free text: Sinus pressure, allergies, normal at this time of the year.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2022-02-16
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-27Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Headache probably from allergies.

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Chest cold

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Dry hacking cough, sinus drainage.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Unable to breath, severe chest congestion and sinus. Totally disoriented. Very scary. Zpak, steroids, increase inhaler strength. Still lingering minor cough, sinus and a little confusion. 2x COVID tests negative. Not one done at the emergency room. cut off by CDC
Healthcare visit (other): office visit as well.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Sinus pressure, allergies, normal at this time of the year.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDisorientation ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDLower respiratory tract infection ✓ ✓ ✓
SDParanasal sinus discomfort ✓ · ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release