ELW-31422-14150
3 vaccinations
2 coded responses
42 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 335 / FL
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EGS-18218-87782
Child or adolescent in my care · Female · 2021-12-12
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
- 2021-05-13
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-19
- 2021-06-24
- 2021-08-12
- 2021-11-11
-
2021-12-12
Dose 3 — Moderna
-
2021-12-12
Survey response — day 0, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-21
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-01-23
- 2022-03-13
- 2022-06-12
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Bronchitis, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bronchitis and upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Sore throat
Release 12 — 12 months, dose 3
Symptoms: Bronchitis and upper respiratory infection
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 | Bronchitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release