ADF-17489-01704
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 322 / FL
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
-
2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Swollen neck lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-23
-
2021-05-28
Dose 2 — Moderna
-
2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-06-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-04
- 2021-06-13
- 2021-06-20
- 2021-06-26
- 2021-07-04
- 2021-07-09
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2021-08-27
Survey response — 3 months, dose 2MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Rhinorrhoea, Wheezing — 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: Had minor version of same symptoms my daughter had. She was positive for covid. My symptoms were wheezing, headache, runny nose, coughing, fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-28
- 2021-12-13
-
2022-05-29
Survey response — 12 months, dose 2MedDRA: COVID-19, Office visit, Respiratory symptom — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: COVID · Healthcare visit (other): Pulmonologist referral for respiratory symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-05-31
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen neck lymph node
Release 9 — 3 months, dose 2
Symptoms: Had minor version of same symptoms my daughter had. She was positive for covid. My symptoms were wheezing, headache, runny nose, coughing, fatigue
Release 11 — 12 months, dose 2
Symptoms: COVID
Healthcare visit (other): Pulmonologist referral for respiratory symptoms
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Respiratory symptom | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Wheezing | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release