67F-18558-00531
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 212 / MD
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 1MedDRA: Chills, Pyrexia — Feeling: GoodFree text: Slightly feverish and chills on Monday. I took my temperature with an infrared at it said 100.4. I moved away from the heat vent and waited to retake and got a reading of 98.6MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Dose 2 — Moderna
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-21
- 2021-08-20
-
2022-02-17
Survey response — 12 months, dose 2MedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea — 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: Cough, fever, runny nose, congestion,MedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
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)
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-17 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: Slightly feverish and chills on Monday. I took my temperature with an infrared at it said 100.4. I moved away from the heat vent and waited to retake and got a reading of 98.6
Release 11 — 12 months, dose 2
Symptoms: Cough, fever, runny nose, congestion,
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release