696-27658-92385
1 vaccination
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 721 / AR
- Registered
- 2021-07-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-17
Dose 1 — Moderna
-
2021-07-29
Registered in v-safe
- 2021-07-29
-
2021-07-31
Survey response — day 14, dose 1MedDRA: Chills, Cough, Headache, Rhinorrhoea — Feeling: Poor · 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: Got a cough wednesday, nose running and headache and chills the next day... No fever.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
- 2021-08-07
- 2021-10-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-31 | Unsuccessful |
Free text
Release 9 — day 14, dose 1
Symptoms: Got a cough wednesday, nose running and headache and chills the next day... No fever.
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 | Headache | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release