AC8-52058-25200
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — day 7, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to workFree text: positive for covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-12
- 2021-01-19
-
2021-03-30
Survey response — 3 months, dose 1MedDRA: Palpitations — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — 3 months, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-06
Call successfulDoes not wish to fill out VAERS report
-
2021-12-31
Survey response — 12 months, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: got covid for a 2nd timeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): positive for covid
Release 6 — 3 months, dose 1
Symptoms: palpitations
Release 10 — 12 months, dose 1
Symptoms: got covid for a 2nd time
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 | Palpitations | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release