BRH-28210-66601
4 vaccinations
2 coded responses
40 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 275 / NC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-05
- 2021-04-11
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-29
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Coughing, fatigue, no fever - lasted 2 weeks. Covid test negativeMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-16
-
2021-12-07
Dose 3 — Moderna
- 2022-04-15
-
2022-12-05
Dose 4 — Moderna
- 2022-12-05
-
2022-12-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Abdominal painAdult check-in
- 2022-12-08
- 2022-12-09
- 2022-12-10
- 2022-12-11
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-02
- 2023-01-09
- 2023-01-16
-
2023-03-08
Survey response — 3 months, dose 4MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-03-08
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-03-09
- 2023-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-12-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-08 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Coughing, fatigue, no fever - lasted 2 weeks. Covid test negative
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 | Abortion spontaneous | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release