6NN-40369-99843
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 967 / HI
- Registered
- 2021-09-01
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-06
Dose 1 — Moderna
-
2021-09-01
Registered in v-safe
-
2021-09-01
Survey response — day 21, dose 1MedDRA: Back pain, Dizziness, Headache — Feeling: FairFree text: Back pain, light headed, headachesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Dose 2 — Moderna
- 2021-09-03
-
2021-09-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-09-08
- 2021-09-09
- 2021-09-10
- 2021-09-23
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
-
2022-03-04
Survey response — 6 months, dose 2MedDRA: COVID-19 — 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 consultationFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-10
- 2022-09-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-06 | Moderna | No |
| 2 | 2021-09-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-04 | Unsuccessful |
Free text
Release 9 — day 21, dose 1
Symptoms: Back pain, light headed, headaches
Release 11 — 6 months, dose 2
Symptoms: COVID
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 | Back pain | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release