G45-19832-09707
4 vaccinations
3 coded responses
30 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 277 / NC
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
G9D-16886-09475
Child or adolescent in my care · Female · 2022-06-26
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: Cough, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough, congestion. Got tested for Covid and it was negative. I think it was likely just allergies.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Dose 3 — Moderna
- 2022-04-16
-
2022-10-28
Dose 4 — Moderna
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
-
2022-11-25
Survey response — day 28, dose 4MedDRA: Influenza, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: PoorFree text: Sore throat - positive flu case in the family, so likely the flu. Negative COVID test.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-02
- 2022-12-09
-
2023-01-29
Survey response — 3 months, dose 4MedDRA: COVID-19, Pregnancy — 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 consultationMedDRA releases: 2024-11
-
2023-01-29
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
-
2023-01-30
Call successfulCompleted over the phone
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — 6 months, dose 2
Symptoms: Cough, congestion. Got tested for Covid and it was negative. I think it was likely just allergies.
Release 12 — day 28, dose 4
Symptoms: Sore throat - positive flu case in the family, so likely the flu. Negative COVID test.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release