D85-20879-57890
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 150 / PA
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-07
-
2021-05-13
Dose 2 — Moderna
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-19
- 2021-05-20
-
2021-06-03
Survey response — day 21, dose 2MedDRA: Nasopharyngitis, Palpitations — Feeling: FairFree text: Heart palpitations and I currently have a head cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-06-24
- 2021-08-12
-
2021-11-12
Survey response — 6 months, dose 2MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had Covid. Tested positive on 10/2/2021MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Heart palpitations and I currently have a head cold.
Release 10 — 6 months, dose 2
Symptoms: Had Covid. Tested positive on 10/2/2021
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release