BKQ-30680-64640
4 vaccinations
2 coded responses
28 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 462 / IN
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FVT-21915-42927
Child or adolescent in my care · Female · 2022-12-18
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-22
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 2MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, runny nose, nasal congestion. But got tested and did NOT test positive for COVID.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
-
2021-10-27
Dose 3 — Moderna
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Telemedicine — 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: Symptoms: Tested COVID positive last week- Sore throat, nasal congestion and cough · Healthcare visit (other): I was required to have virtual visits through my employer while I was COVID positive- I work at a hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-28
-
2022-10-25
Dose 4 — Moderna
- 2023-01-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-25 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: Sore throat, runny nose, nasal congestion. But got tested and did NOT test positive for COVID.
Release 11 — 12 months, dose 2
Symptoms: Tested COVID positive last week- Sore throat, nasal congestion and cough
Healthcare visit (other): I was required to have virtual visits through my employer while I was COVID positive- I work at a hospital
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 | COVID-19 | · | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release