6TD-15692-56574
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 837 / ID
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Health check-in — day 7, dose 1Feeling: Poor · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-27
Dose 2 — Moderna
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-04
- 2021-05-20
- 2021-05-27
- 2021-06-03
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast cancerMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 3 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)
-
2021-08-09
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-09
Dose 3 — Moderna
-
2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-09-11
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Small rash on faceMedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Survey response — days 1–6 daily, dose 3MedDRA: Medical counselling — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Call to nurse at oncologist clinicMedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-13
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-09-23
- 2021-10-01
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-29 | Successful 2021-08-09 |
Participant prefers to complete VAERS report online |
| 2021-09-12 | Successful 2021-09-13 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — 3 months, dose 2
Symptoms: Breast cancer
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Small rash on face
Healthcare visit (other): Call to nurse at oncologist clinic
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release