AM5-53056-05011
3 vaccinations
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 300 / GA
- Registered
- 2022-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Dose 1 — Moderna
-
2021-05-24
Dose 2 — Moderna
-
2021-12-17
Dose 3 — Moderna
-
2022-01-07
Registered in v-safe
- 2022-01-09
- 2022-01-14
- 2022-01-21
-
2022-01-28
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Runny nose, sore throat · Healthcare visit (other): Covid PCR testMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-03-18
Survey response — 3 months, dose 3MedDRA: Fatigue, Pregnancy, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for Covid with a rapid home test with symptoms: fever for one day, fatigue for several days, congestion and runny nose for about 10 days. Light congestion has lingered since after having Covid, which I am attributing to pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-17
-
2022-12-17
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold like symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | No |
| 2 | 2021-05-24 | Moderna | No |
| 3 | 2021-12-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — day 42, dose 3
Release 11 — 3 months, dose 3
Symptoms: I tested positive for Covid with a rapid home test with symptoms: fever for one day, fatigue for several days, congestion and runny nose for about 10 days. Light congestion has lingered since after having Covid, which I am attributing to pregnancy cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: Cold like 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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release