66X-23913-32214
3 vaccinations
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 774 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to workFree text: Half of Shoulder area pain on the side of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Nausea · Be unable to workAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-12-12
Dose 3 — Moderna
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Cough, Pyrexia, Throat irritation — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever, cough, scratchy throatMedDRA releases: 2024-11 · check-in free text available
-
2022-02-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-04 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Half of Shoulder area pain on the side of injection
Release 11 — 12 months, dose 2
Symptoms: Fever, cough, scratchy throat
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 | Cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release