7JB-10945-47588
3 vaccinations
2 coded responses
37 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4JE-23167-23633
Child or adolescent in my care · Male · 2021-11-16
L6V-90974-26344
Child or adolescent in my care · Male · 2021-11-16
6F3-28910-35935
Child or adolescent in my care · Female · 2021-11-16
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-20
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-06-24
- 2021-09-23
-
2021-10-26
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-25
- 2021-11-30
- 2021-12-09
- 2022-01-25
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe hypertension · Healthcare visit (other): Referral to cardiologistMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-29
-
2022-10-26
Survey response — 12 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for covid on 8/19/22.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Release 12 — 12 months, dose 3
Symptoms: I tested positive for covid on 8/19/22.
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 | Hypertension | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release