9DS-30849-31182
3 vaccinations
1 coded response
12 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 100 / NY
- Registered
- 2021-11-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
E7B-90575-47826
Child or adolescent in my care · Female · 2022-07-02
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-28
Dose 2 — Moderna
-
2021-11-23
Dose 3 — Moderna
-
2021-11-24
Registered in v-safe
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-02-22
-
2022-11-25
Survey response — 12 months, dose 3MedDRA: Chest pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2022-11-25
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-11-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | No |
| 2 | 2021-03-28 | Moderna | No |
| 3 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — 12 months, dose 3
Symptoms: Chest pain
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 | Chest pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release