76V-90231-14094
4 vaccinations
2 coded responses
46 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 494 / MI
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
- 2021-03-27
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-06
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-27
Dose 3 — Moderna
- 2021-11-27
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-27
- 2022-01-01
- 2022-01-08
- 2022-02-26
-
2022-05-28
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: Contracted covid 5-16-22MedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Report sent to call center — 6 months, dose 3Be 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)
-
2022-05-31
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-25
Dose 4 — Pfizer-BioNTech
- 2022-11-27
-
2022-11-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2022-11-28
- 2022-11-29
- 2022-11-30
- 2022-12-01
- 2022-12-03
- 2022-12-09
-
2022-12-17
Survey response — day 21, dose 4MedDRA: Fatigue, Headache, Office visit, Oropharyngeal pain, Sneezing — 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 professionalFree text: Symptoms: Sore throat, sneezing, headache, exhaustion · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — day 21, dose 4Be 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)
- 2022-12-19
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-02-24
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-11-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-28 | Successful 2022-05-31 |
Participant prefers to complete VAERS report online |
| 2022-12-17 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Symptoms: Contracted covid 5-16-22
Release 12 — day 21, dose 4
Symptoms: Sore throat, sneezing, headache, exhaustion
Healthcare visit (other): Primary care physician
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release