7C9-57944-69250
4 vaccinations
3 coded responses
31 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-11
Dose 2 — Moderna
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to workFree text: These are for Day 1, did not realize had to resign up for 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-08-12
-
2021-11-14
Dose 3 — ModernaCo-administered: Flu
- 2022-02-11
-
2022-04-27
Dose 4 — Moderna
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Impaired work ability — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Was moderate yestersay when did check and by 5 pm was severe and had to miss work. Slept for hours and woke up back at moderate.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
-
2023-04-27
Survey response — 12 months, dose 4MedDRA: COVID-19, Corneal scar, Eye infection viral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-27
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-14 | Moderna | Flu |
| 4 | 2022-04-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-27 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): These are for Day 1, did not realize had to resign up for 2nd shot.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Was moderate yestersay when did check and by 5 pm was severe and had to miss work. Slept for hours and woke up back at moderate.
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 | Corneal scar | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye infection viral | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release