7BH-64345-73734
3 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 452 / OH
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Registered dependents
4RD-84894-70282
Child or adolescent in my care · Female · 2022-03-12
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
-
2021-02-12
Dose 2 — Moderna
-
2022-01-13
Dose 3 — Moderna
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Anosmia, Breakthrough COVID-19 — Feeling: GoodFree text: Anosmia from getting covid ( probably the delta strain) before booster shots were available for everyone. Despite being a breakthrough case six months after receiving my second dose moderna, I still chose to get boosted and I would do it again.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Survey response — 3 months, dose 3MedDRA: Autoimmune disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I developed an autoimmune diseaseMedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-20
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-14
Survey response — 6 months, dose 3MedDRA: Autoimmune disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Autoimmune disease · Healthcare visit (other): Outpatient appointments with specialistsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-15
- 2022-07-15
-
2022-08-30
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2022-01-13 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-17 | Successful 2022-04-20 |
Participant prefers to complete VAERS report online |
| 2022-07-14 | Successful 2022-08-30 |
Does not wish to fill out VAERS report |
Free text
Release 11 — 12 months, dose 2
Symptoms: Anosmia from getting covid ( probably the delta strain) before booster shots were available for everyone. Despite being a breakthrough case six months after receiving my second dose moderna, I still chose to get boosted and I would do it again.
Release 11 — 3 months, dose 3
Symptoms: I developed an autoimmune disease
Release 12 — 6 months, dose 3
Symptoms: Autoimmune disease
Healthcare visit (other): Outpatient appointments with specialists
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 | Anosmia | · | · | ✓ |
| SD | Autoimmune disorder | · | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release