G4T-19277-61261
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 539 / WI
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Diarrhea and vomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough, sore throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
-
2021-02-15
Survey response — day 21, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Worsening cold signs and symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-28
-
2021-10-29
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-26
- 2021-12-04
- 2021-12-12
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Cough, Pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny nose, cough, 99.5 temp, body achesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 14, dose 1
Symptoms: Diarrhea and vomiting
Release 3 — day 7, dose 2
Systemic reaction (other): Cough, sore throat, runny nose
Release 4 — day 21, dose 2
Symptoms: Worsening cold signs and symptoms
Release 11 — 3 months, dose 3
Symptoms: Runny nose, cough, 99.5 temp, body aches
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release