6WE-22768-30672
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 800 / CO
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 2 — Moderna
- 2021-03-14
- 2021-03-16
- 2021-03-18
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-06-13
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · 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: I had West Nile Virus. First symptoms May 24, 2021 with head ache and whole body aches. Then nausea and loose bowels. Two visits to urgent care for headache and bodyaches then for nausea. Diagnosis on June 4th at final doctors appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-23
- 2021-09-12
-
2021-10-18
Dose 3 — Moderna
- 2022-03-12
- 2022-04-18
-
2022-10-18
Survey response — 12 months, dose 3MedDRA: Cough, Nasopharyngitis, Office visit, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a cold. Runny nose and cough. No fever. Cough has lasted 4 1/2 weeks so far. Went to (b)(6) doctor and discussed things to help cough and they are helping. Can sleep 6 hours without coughing now. Believe I am on the mend now. · Healthcare visit (other): Appointment at Aurora Center HealthMedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-19
- 2022-10-19
-
2022-10-25
Call successfulNot applicable - Accidental Reporting
-
2022-10-25
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-18 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: I had West Nile Virus. First symptoms May 24, 2021 with head ache and whole body aches. Then nausea and loose bowels. Two visits to urgent care for headache and bodyaches then for nausea. Diagnosis on June 4th at final doctors appointment
Release 12 — 12 months, dose 3
Symptoms: Had a cold. Runny nose and cough. No fever. Cough has lasted 4 1/2 weeks so far. Went to (b)(6) doctor and discussed things to help cough and they are helping. Can sleep 6 hours without coughing now. Believe I am on the mend now.
Healthcare visit (other): Appointment at Aurora Center Health
redacted (b)(6)
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 | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release