A5S-75697-79218
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 680 / NE
- Registered
- 2021-08-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-26
Registered in v-safe
-
2021-08-26
Dose 1 — Moderna
-
2021-08-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-27
-
2021-08-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-30
- 2021-08-31
- 2021-09-01
- 2021-09-02
-
2021-09-11
Survey response — day 14, dose 1MedDRA: Sinonasal obstruction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blocked sinusesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-16
- 2021-09-23
- 2021-09-30
-
2021-10-08
Dose 2 — Moderna
-
2021-10-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, NauseaFree text: Feeling faintMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2022-01-07
-
2022-04-08
Survey response — 6 months, dose 2MedDRA: COVID-19, Herpes zoster — Feeling: Good · Be unable to work or attend school, 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: Covid-19 and then an onset of shinglesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-26 | Moderna | No |
| 2 | 2021-10-08 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — day 14, dose 1
Symptoms: Blocked sinuses
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling faint
Release 11 — 6 months, dose 2
Symptoms: Covid-19 and then an onset of shingles
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 | Herpes zoster | · | · | ✓ |
| SD | Sinonasal obstruction | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release