65L-49193-14560
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 662 / KS
- Registered
- 2021-08-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Registered in v-safe
-
2021-08-13
Dose 1 — Moderna
-
2021-09-10
Dose 2 — Moderna
-
2021-09-10
Survey response — day 0, dose 2MedDRA: Chest pain — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-15
- 2021-09-26
- 2021-10-01
- 2021-10-10
- 2021-10-16
- 2021-10-22
- 2021-12-12
- 2022-03-13
-
2022-09-10
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Moderna | No |
| 2 | 2021-09-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-10 | Unsuccessful |
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Chest pain
Release 12 — 12 months, dose 2
Symptoms: 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 | COVID-19 | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release