EX3-25986-91323
3 vaccinations
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 193 / PA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
-
2021-04-28
Dose 2 — Moderna
-
2021-07-01
Survey response — 3 months, dose 1MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sick after dose 2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
-
2021-11-24
Dose 3 — Moderna
-
2022-05-30
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Got covid onceMedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-01
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-28 | Moderna | No |
| 3 | 2021-11-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 3 months, dose 1
Symptoms: Sick after dose 2
Release 11 — 6 months, dose 3
Symptoms: Got covid once
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 | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release