EY6-25583-49193
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 544 / WI
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site induration — Feeling: GoodFree text: Softball size erythema and induration at injection site. Has since gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
-
2021-09-01
Dose 3 — Moderna
- 2021-09-23
- 2021-10-01
- 2021-10-08
-
2021-10-13
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever and sore throat likely virus caught from child. Negative for covid and strepZMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-19
-
2021-10-20
Call successfulDoes not wish to fill out VAERS report
- 2021-12-06
-
2022-03-02
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: FairFree text: Pregnant 12 weeks nowMedDRA releases: 2024-11 · check-in free text available
- 2022-09-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Softball size erythema and induration at injection site. Has since gone away.
Release 10 — day 42, dose 3
Symptoms: Fever and sore throat likely virus caught from child. Negative for covid and strepZ
Release 11 — 6 months, dose 3
Symptoms: Pregnant 12 weeks now
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release