6C4-91860-56053
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-09
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
-
2021-02-03
Dose 2 — Moderna
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Sneezing — Feeling: Good · Headache, Fatigue or tirednessFree text: Cough and sneezeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-17
Survey response — day 14, dose 2MedDRA: Epistaxis, Menstruation delayed — Feeling: FairFree text: Nose bleed daily. Delayed menstrual cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Survey response — day 28, dose 2MedDRA: Epistaxis, Oropharyngeal pain — Feeling: FairFree text: Sore throat, daily nose bleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-17
- 2021-05-05
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Cough, Headache, Hyposmia, Pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Aches. Headache. Loss of some smell. Sneezing. Coughing.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-03
Survey response — 12 months, dose 2MedDRA: COVID-19, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I've had Covid and have residual effects dailyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-13 | priority 2/3 | |
| 2022-02-03 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Cough and sneeze
Release 4 — day 14, dose 2
Symptoms: Nose bleed daily. Delayed menstrual cycle.
Release 5 — day 28, dose 2
Symptoms: Sore throat, daily nose bleed
Release 9 — 6 months, dose 2
Symptoms: Aches. Headache. Loss of some smell. Sneezing. Coughing.
Release 11 — 12 months, dose 2
Symptoms: I've had Covid and have residual effects daily
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 | COVID-19 | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hyposmia | ✓ | · | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release