CRL-21674-68178
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 013 / MA
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Z3Q-90441-35663
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Chills, Headache, Myalgia, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Chills, fever, muscle aches, headache · Healthcare visit (other): Covid 19 test, pending resultMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-13
Call successfulDoes not wish to fill out VAERS report
-
2021-01-23
Survey response — day 28, dose 1MedDRA: Pneumonia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I was diagnosed with pneumonia so had to defer my second COVID shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Report sent to call center — day 28, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-25
Dose 2 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-08
- 2021-02-18
- 2021-02-22
- 2021-02-26
- 2021-03-01
- 2021-03-08
- 2021-07-30
-
2021-12-15
Dose 3 — Moderna
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Dose 4 — ModernaCo-administered: Flu
- 2022-10-26
-
2022-11-02
Survey response — day 21, dose 4MedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-20
- 2022-11-23
- 2023-01-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-10-10 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 1 — day 14, dose 1
Symptoms: Chills, fever, muscle aches, headache
Healthcare visit (other): Covid 19 test, pending result
Release 2 — day 28, dose 1
Symptoms: I was diagnosed with pneumonia so had to defer my second COVID shot
Release 11 — 12 months, dose 2
Symptoms: I am pregnant
Release 12 — day 21, dose 4
Symptoms: Congestion
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 | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release