7AK-11331-46999
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 763 / TX
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 2 — Moderna
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-09
- 2021-03-11
- 2021-03-18
- 2021-03-27
-
2021-04-15
Survey response — day 42, dose 2MedDRA: Chills, Diarrhoea, Headache, Nasal congestion, Nausea, Pain — Feeling: Poor · 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: Headache, nausea, diarrhea, nasal congestion, body aches, chills, nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-06-03
Survey response — 3 months, dose 2MedDRA: Cough, Dyspnoea, Nasal congestion, Pain, Pyrexia — Feeling: Poor · 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: Fever, cough, nasal congestion, body aches. Shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
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)
- 2021-06-08
-
2022-03-06
Survey response — 12 months, dose 2MedDRA: Anxiety, Panic attack — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Anxiety and panic attack lsnMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-15 | Successful 2021-04-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-06-03 | Unsuccessful |
Free text
Release 7 — day 42, dose 2
Symptoms: Headache, nausea, diarrhea, nasal congestion, body aches, chills, nasal congestion
Release 8 — 3 months, dose 2
Symptoms: Fever, cough, nasal congestion, body aches. Shortness of breath.
Release 11 — 12 months, dose 2
Symptoms: Anxiety and panic attack lsn
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 | Anxiety | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Panic attack | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release