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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

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Dose 2 — Moderna
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-15
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free text: Headache, nausea, diarrhea, nasal congestion, body aches, chills, nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  14. 2021-06-03
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Fever, cough, nasal congestion, body aches. Shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-03
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-06-08
  17. 2022-03-06
    Survey response — 12 months, dose 2
    MedDRA: Anxiety, Panic attack — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Anxiety and panic attack lsn
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-04Moderna

Call center

ReportedOutcomeVAERS-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

2021-04-15

Symptoms: Headache, nausea, diarrhea, nasal congestion, body aches, chills, nasal congestion

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Fever, cough, nasal congestion, body aches. Shortness of breath.

Release 11 — 12 months, dose 2

2022-03-06

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

FieldPreferred term2021-092023-042024-11
SDAnxiety · · ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPanic attack · · ✓
SDPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release