GNF-15752-84478
3 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 804 / CO
- Registered
- 2022-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
3KG-27871-48975
Child or adolescent in my care · Female · 2022-01-14
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-12
Dose 2 — Moderna
-
2021-12-09
Dose 3 — Moderna
-
2022-01-14
Registered in v-safe
- 2022-01-14
-
2022-12-09
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Cough, Nasal congestion, Pain, Pyrexia — Feeling: Fair · 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 consultationFree text: Fever, body aches, headache, nasal congestion, cough, loss of taste and smellMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 12 months, dose 3Be 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)
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | No |
| 2 | 2021-03-12 | Moderna | No |
| 3 | 2021-12-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 12 months, dose 3
Symptoms: Fever, body aches, headache, nasal congestion, cough, loss of taste and smell
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release