6W7-10976-83909
3 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 329 / FL
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-09
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Muscle or body achesFree text: Slight congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Sneezing — Feeling: GoodFree text: Sore throat & sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-29
- 2021-06-03
- 2021-06-12
-
2021-07-31
Survey response — 3 months, dose 2MedDRA: Chills, Exposure to SARS-CoV-2, Quarantine, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chills & congestion. Under quarantine due to toddler son being exposed to covid at preschool.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-28
-
2021-11-22
Dose 3 — Pfizer-BioNTech
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Fair · 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: Contracted Covid from an unvaccinated personMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-24
-
2022-05-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-23 | Successful 2022-05-25 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Slight congestion
Systemic reaction (other): Sore throat & sneezing
Release 9 — 3 months, dose 2
Symptoms: Chills & congestion. Under quarantine due to toddler son being exposed to covid at preschool.
Release 11 — 6 months, dose 3
Symptoms: Contracted Covid from an unvaccinated person
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 | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | · | ✓ |
| SD | Quarantine | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release