7PW-33899-06338
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 334 / FL
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pyrexia — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Body aches and fever up to 100.4 between hours 12-24 of receiving vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activitiesno matching call case
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: GoodFree text: Sunday and Monday night I experienced hives on my fave around 6-7pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-18
- 2021-01-26
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-05
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, cough, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-08
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-30
-
2022-01-07
Dose 3 — Moderna
- 2022-01-27
- 2022-01-27
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-04-09
- 2022-07-10
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2022-01-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-28 | Successful 2021-06-08 |
Participant prefers to complete VAERS report online |
1 report(s) with no call case — see the timeline.
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Body aches and fever up to 100.4 between hours 12-24 of receiving vaccine
Release 1 — day 7, dose 1
Systemic reaction (other): Sunday and Monday night I experienced hives on my fave around 6-7pm
Release 8 — 3 months, dose 2
Symptoms: Sore throat, cough, body aches
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release