GPH-33599-03295
3 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 210 / MD
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-04-13
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
- 2021-05-04
-
2021-05-11
Dose 2 — Moderna
- 2021-05-11
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
-
2021-08-10
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: FairFree text: Currently have a cold with sore throat & congestion that I got from my elementary-aged children (they were tested, neg for Covid); I'm awaiting Civid test result.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-09
-
2021-11-29
Dose 3 — Moderna
-
2022-05-12
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Don't know if it's related to my first series of covid vaccines but I had an early miscarriage (5-6 week). · Healthcare visit (other): primary doctor (OB) & lab visitMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-12 | Successful 2020-05-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — 3 months, dose 2
Symptoms: Currently have a cold with sore throat & congestion that I got from my elementary-aged children (they were tested, neg for Covid); I'm awaiting Civid test result.
Release 11 — 12 months, dose 2
Symptoms: Don't know if it's related to my first series of covid vaccines but I had an early miscarriage (5-6 week).
Healthcare visit (other): primary doctor (OB) & lab visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release