6MN-27729-20787
4 vaccinations
3 coded responses
22 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 065 / CT
- Registered
- 2021-11-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-05-14
Dose 2 — Moderna
-
2021-11-26
Dose 3 — Moderna
-
2021-11-27
Registered in v-safe
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-10
- 2021-12-24
- 2022-01-02
-
2022-01-07
Survey response — day 42, dose 3MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Fatigue, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-25
-
2022-05-29
Survey response — 6 months, dose 3MedDRA: Chills, Cough, Headache, Influenza, Myalgia, Pyrexia — Feeling: Good · 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: Influenza A: cough, muscle aches, headache, fever, chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-31
Call successfulNot applicable - Accidental Reporting
-
2022-09-09
Dose 4 — ModernaCo-administered: Flu
-
2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-18
- 2022-09-23
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 4MedDRA: COVID-19, Wheezing — 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: Covid caused worsening wheezingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
-
2022-12-13
Call successfulCompleted over the phone
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | No |
| 2 | 2021-05-14 | Moderna | No |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-09-09 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-29 | Successful 2022-05-31 |
Not applicable - Accidental Reporting |
| 2022-12-09 | Successful 2022-12-13 |
Completed over the phone |
Free text
Release 10 — day 42, dose 3
Symptoms: Fatigue, congestion
Release 11 — 6 months, dose 3
Symptoms: Influenza A: cough, muscle aches, headache, fever, chills
Release 12 — 3 months, dose 4
Symptoms: Covid caused worsening wheezing
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release