FKW-10516-39407
1 vaccination
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-13
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Chills, Diarrhoea, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to workFree text: COVID positive with fever, chills, body aches, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — day 21, dose 1MedDRA: Headache, Pyrexia — Feeling: Good · Be unable to workFree text: Fever/headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
-
2022-01-07
Survey response — 12 months, dose 1MedDRA: COVID-19, Gastrointestinal disorder, Headache — Feeling: Poor · Be unable to work or attend schoolFree text: Covid positive, headache and GI symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: COVID positive with fever, chills, body aches, diarrhea
Release 3 — day 21, dose 1
Symptoms: Fever/headache
Release 10 — 12 months, dose 1
Symptoms: Covid positive, headache and GI symptoms
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release