AU7-70426-78094
3 vaccinations
3 coded responses
41 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 284 / NC
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZSF-19569-73881
Child or adolescent in my care · Male · 2021-11-05
L7Q-56382-12151
Child or adolescent in my care · Female · 2022-06-30
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-26
Dose 3 — Moderna
- 2021-11-26
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-05
- 2021-12-10
- 2021-12-17
- 2021-12-24
-
2021-12-31
Survey response — day 35, dose 3MedDRA: Fatigue, Headache, Respiratory symptom — Feeling: FairFree text: Upper respiratory symptoms, headache, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — 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: COVID symptoms began 12/31/21. Headache, fatigue, runny nose, sore throat, cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Report sent to call center — day 42, dose 3Be 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)
-
2022-01-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-27
- 2022-05-27
- 2022-11-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Light headed
Release 10 — day 35, dose 3
Symptoms: Upper respiratory symptoms, headache, fatigue
Release 10 — day 42, dose 3
Symptoms: COVID symptoms began 12/31/21. Headache, fatigue, runny nose, sore throat, cough.
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release