AFC-84057-58681
4 vaccinations
1 coded response
41 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L4A-10126-23337
Child or adolescent in my care · Male · 2022-06-25
S7V-15225-75999
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-10
Registered in v-safe
- 2021-01-10
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-17
- 2021-02-26
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-30
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-10
- 2022-01-26
- 2022-04-27
-
2022-09-13
Dose 4 — Moderna
- 2022-09-25
- 2022-09-27
- 2022-10-04
- 2022-10-13
- 2022-10-18
- 2022-10-25
- 2022-12-13
-
2023-03-14
Survey response — 6 months, dose 4MedDRA: Pharyngitis streptococcal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-15
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
None.
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 | Pharyngitis streptococcal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release