AEF-19171-44816
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 856 / AZ
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Headache, Influenza like illness, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Possible flu like exposure with congestion (children had runny nose and cough but not me personally), chills, fatigue, sore throat and headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
-
2021-04-24
Dose 2 — Moderna
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-03
-
2021-05-09
Survey response — day 14, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: PoorFree text: Fine until yesterday. Painfully sore throat and congestion as if getting a cold. *another family member just got a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — day 21, dose 2MedDRA: Headache, Lethargy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Cold confirmed and accompanying symptoms- headache, congestion, sore throat, lethargy, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-31
-
2021-06-07
Survey response — day 42, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Another coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-25
- 2021-10-23
-
2021-12-16
Dose 3 — ModernaCo-administered: Flu
-
2022-04-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Influenza, Nasopharyngitis — 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: No idea when you last contacted but had COVID-19 Jan of 2022 in addition to colds and fluMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-27
Call successfulDoes not wish to fill out VAERS report
- 2022-06-16
-
2022-12-16
Survey response — 12 months, dose 3MedDRA: Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: You should really put the date you last contacted me because I have no idea. Had a bad cold/flu recentlyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-12-16 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 1
Symptoms: Possible flu like exposure with congestion (children had runny nose and cough but not me personally), chills, fatigue, sore throat and headache.
Release 8 — day 14, dose 2
Symptoms: Fine until yesterday. Painfully sore throat and congestion as if getting a cold. *another family member just got a cold
Release 8 — day 21, dose 2
Symptoms: Cold confirmed and accompanying symptoms- headache, congestion, sore throat, lethargy, etc.
Release 8 — day 42, dose 2
Symptoms: Another cold
Release 11 — 12 months, dose 2
Symptoms: No idea when you last contacted but had COVID-19 Jan of 2022 in addition to colds and flu
Release 12 — 12 months, dose 3
Symptoms: You should really put the date you last contacted me because I have no idea. Had a bad cold/flu recently
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release