7TH-31867-29464
3 vaccinations
2 coded responses
6 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-11-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-04-10
Dose 2 — Moderna
-
2021-11-21
Dose 3 — Moderna
-
2021-11-22
Registered in v-safe
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-11-25
- 2021-12-05
-
2022-01-02
Survey response — day 42, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have covidMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, Insomnia, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Late covid symptoms: loss of smell and taste, low grade fever and insomniaMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | No |
| 2 | 2021-04-10 | Moderna | No |
| 3 | 2021-11-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-22 | Successful 2022-03-21 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — day 42, dose 3
Symptoms: I have covid
Release 11 — 3 months, dose 3
Symptoms: Late covid symptoms: loss of smell and taste, low grade fever and insomnia
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release