8D9-20522-63409
1 vaccination
2 coded responses
12 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 071 / NJ
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-13
Survey response — day 14, dose 1MedDRA: General symptom — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Covid symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-04-22
Survey response — day 21, dose 1MedDRA: Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: LethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-04-27
- 2021-06-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 7 — day 14, dose 1
Symptoms: Covid symptoms
Release 7 — day 21, dose 1
Symptoms: Lethargy
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 | General symptom | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release