58F-17626-95129
2 vaccinations
3 coded responses
4 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 030 / NH
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Dose 1 — Moderna
-
2021-06-02
Dose 2 — Moderna
-
2021-06-05
Registered in v-safe
-
2021-06-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tirednessFree text: Cough runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Anosmia, Cough, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, runny nose loss of smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-06-08
-
2021-06-09
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Poor · Fever · Headache, Fatigue or tiredness, DiarrheaFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna | |
| 2 | 2021-06-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-06 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Cough runny nose
Systemic reaction (other): Cough, runny nose loss of smell
Release 9 — day 7, dose 2
Systemic reaction (other): Cough
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 | Anosmia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release