5XB-86039-53940
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 402 / KY
- Registered
- 2021-07-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-26
Dose 1 — Moderna
-
2021-07-27
Registered in v-safe
-
2021-07-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-07-31
- 2021-08-10
-
2021-08-16
Survey response — day 21, dose 1MedDRA: Anxiety, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: anxiety and nauseaMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-16
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2021-08-25
-
2021-08-26
Dose 2 — Moderna
- 2021-08-30
- 2021-09-01
- 2021-09-02
- 2021-09-11
- 2021-09-30
- 2021-10-09
- 2021-11-25
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-26 | Moderna | No |
| 2 | 2021-08-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-16 | Unsuccessful |
Free text
Release 9 — day 21, dose 1
Symptoms: anxiety and nausea
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 | Anxiety | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release