6HR-26872-91517
3 vaccinations
1 coded response
28 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Headache, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Poor · Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-03
Dose 2 — Moderna
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-19
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: I got covid confirmed on August 1st, with minor symptoms, now I got a negative testMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 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 pr1 call case(s)
-
2021-09-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-05
Dose 3 — Moderna
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-07
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-12-09
- 2021-12-10
- 2021-12-14
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-01 | Successful 2021-09-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: I got covid confirmed on August 1st, with minor symptoms, now I got a negative test
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 | COVID-19 | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release