GGW-19153-54106
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 667 / KS
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Musculoskeletal stiffness, Sensitive skin, Thyroid disorder — Feeling: FairFree text: Stiff neck, sensitive scalp, and tired. Probably completely unrelated to the vaccine, I'm being tested for thyroid issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-22
Dose 2 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-13
- 2021-02-19
-
2021-03-05
Survey response — day 42, dose 2MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to workFree text: Stomach fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-21
Dose 3 — Pfizer-BioNTech
-
2022-01-22
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Unevaluable event — Feeling: GoodFree text: Sinus/coldMedDRA releases: 2024-11 · check-in free text available
- 2022-06-26
-
2022-12-21
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Panic attack — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Panic attack due to death in the family. Miscarriage.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2021-12-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-21 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Stiff neck, sensitive scalp, and tired. Probably completely unrelated to the vaccine, I'm being tested for thyroid issues.
Release 5 — day 42, dose 2
Symptoms: Stomach flu
Release 11 — 12 months, dose 2
Symptoms: Sinus/cold
Release 12 — 12 months, dose 3
Symptoms: Panic attack due to death in the family. Miscarriage.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Panic attack | · | · | ✓ |
| SD | Sensitive skin | ✓ | ✓ | ✓ |
| SD | Skin disorder | ○ | ○ | ○ |
| SD | Thyroid disorder | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release