7H8-14809-39785
4 vaccinations
3 coded responses
30 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 009 / PR
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Moderna
-
2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-04
Dose 2 — Moderna
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-07
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2021-11-23
Dose 3 — Moderna
- 2022-05-09
-
2022-11-21
Dose 4 — ModernaCo-administered: Flu
- 2022-12-10
- 2022-12-12
- 2022-12-19
-
2022-12-26
Survey response — day 35, dose 4MedDRA: Headache, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal congestion and headache.MedDRA releases: 2024-11 · check-in free text available
-
2023-01-02
Survey response — day 42, dose 4MedDRA: Headache, Nasal congestion — Feeling: GoodMedDRA releases: 2024-11
-
2023-02-22
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-02-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-02-23
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-11-21 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-02-22 | Unsuccessful |
Free text
Release 12 — day 35, dose 4
Symptoms: Nasal congestion and headache.
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release