93Y-25251-05584
3 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 535 / WI
- Registered
- 2021-12-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-04-02
Dose 2 — Moderna
-
2021-12-08
Registered in v-safe
-
2021-12-08
Dose 3 — ModernaCo-administered: Flu
- 2021-12-08
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-29
- 2022-01-07
- 2022-01-12
- 2022-01-19
- 2022-03-09
-
2022-06-08
Survey response — 6 months, dose 3MedDRA: COVID-19, Headache, Medical counselling, Pyrexia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Caught covid, had a fever and headache for three days and called a help line to try and get treatment, treatment offered to late to be of help but was otherwise recovering without it so that's good.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | No |
| 2 | 2021-04-02 | Moderna | No |
| 3 | 2021-12-08 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 11 — 6 months, dose 3
Symptoms: Caught covid, had a fever and headache for three days and called a help line to try and get treatment, treatment offered to late to be of help but was otherwise recovering without it so that's good.
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 | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release