G4W-27207-76424
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 409 / KY
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fever · NoneAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Panic attack, Tachycardia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Panic attack, tachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Agitation, Anxiety — Feeling: GoodFree text: Agitation, anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-10
- 2021-02-17
- 2021-02-26
- 2021-03-03
- 2021-04-21
-
2021-09-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-29
- 2021-11-05
-
2022-03-27
Survey response — 6 months, dose 3MedDRA: Rocky mountain spotted fever — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rocky Mountain spotted feverMedDRA releases: 2024-11 · check-in free text available
-
2022-03-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-31
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-09-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Panic attack, tachycardia
Release 2 — day 7, dose 2
Systemic reaction (other): Agitation, anxiety
Release 11 — 6 months, dose 3
Symptoms: Rocky Mountain spotted fever
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 | Rocky mountain spotted fever | · | · | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release