5K4-12049-01000
4 vaccinations
3 coded responses
27 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 352 / AL
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
-
2020-12-30
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-03
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · ChillsAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Cardioversion — 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 · Emergency room or emergency department visitFree text: Diagnosed and treated for afib with cardioversionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-11
-
2021-10-28
Dose 3 — Moderna
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: 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 · Outpatient clinic or urgent care clinic visitFree text: Poitive for covid 2 weeks agoMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-28
-
2022-09-30
Dose 4 — Pfizer-BioNTech
-
2022-10-11
Health check-in — day 7, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-14
- 2022-10-23
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: 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: Got covidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 4Be 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)
- 2023-01-03
-
2023-01-06
Call successfulDoes not wish to fill out VAERS report
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2023-01-06
Call successfulDoes not wish to fill out VAERS report
-
2023-01-06
Call successfulDoes not wish to fill out VAERS report
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-30 | Successful 2023-01-06 |
Does not wish to fill out VAERS report |
| 2022-01-27 | Successful 2023-01-06 |
Does not wish to fill out VAERS report |
| 2022-12-30 | Successful 2023-01-06 |
Does not wish to fill out VAERS report |
Free text
Release 9 — 6 months, dose 2
Symptoms: Diagnosed and treated for afib with cardioversion
Release 11 — 12 months, dose 2
Symptoms: Poitive for covid 2 weeks ago
Release 12 — 3 months, dose 4
Symptoms: Got covid
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 | Atrial fibrillation | ✓ | · | ✓ |
| SD | Cardioversion | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release