E7Q-18011-10875
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 351 / AL
- Registered
- 2021-09-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-22
Dose 1 — Moderna
-
2021-09-27
Registered in v-safe
- 2021-09-27
- 2021-09-28
- 2021-09-29
-
2021-10-06
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Survey response — day 21, dose 1MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Daily headaches · Healthcare visit (other): Ophthalmologist and chiropractic careMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-20
Dose 2 — Moderna
- 2021-10-20
-
2021-10-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-22
- 2021-10-23
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-11-03
- 2021-11-10
-
2021-11-12
Call successfulDoes not wish to fill out VAERS report
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2022-01-19
- 2022-04-20
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-22 | Moderna | No |
| 2 | 2021-10-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 1
Symptoms: Headache
Release 10 — day 21, dose 1
Symptoms: Daily headaches
Healthcare visit (other): Ophthalmologist and chiropractic care
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 | Office visit | · | · | ✓ |
| SD | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release