5B2-31887-61632
4 vaccinations
2 coded responses
17 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HN5-12687-99153
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-01-09
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 2 — Moderna
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-11-14
Dose 3 — Moderna
- 2022-02-06
-
2022-11-12
Dose 4 — Pfizer-BioNTech
-
2022-11-14
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: I got Covid in AugustMedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-15
Call successfulCompleted over the phone
-
2023-05-13
Survey response — 6 months, dose 4MedDRA: Migraine, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-13
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-14 | Moderna | No |
| 4 | 2022-11-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-14 | Successful 2022-11-15 |
Completed over the phone |
| 2023-05-13 | Unsuccessful |
Free text
Release 12 — 12 months, dose 3
Symptoms: I got Covid in August
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release