6FF-12627-64216
4 vaccinations
1 coded response
19 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-02-07
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-15
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-23
-
2021-11-22
Dose 3 — Moderna
-
2022-09-13
Dose 4 — Pfizer-BioNTech
- 2022-12-13
-
2023-03-14
Survey response — 6 months, dose 4MedDRA: Arthralgia, Herpes zoster, Pruritus, Rash vesicular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-14 | Unsuccessful |
Free text
None.
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 | Arthralgia | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash vesicular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release