GVX-36960-08068
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 680 / NE
- Registered
- 2021-08-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Dose 1 — Moderna
-
2021-08-14
Registered in v-safe
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-19
- 2021-08-20
- 2021-08-27
- 2021-09-03
-
2021-09-10
Dose 2 — Moderna
- 2021-09-10
- 2021-09-11
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-08
-
2021-10-15
Survey response — day 35, dose 2MedDRA: Body temperature increased, Cough, Office visit, Pregnancy, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Runny nose, sneezing, coughing, low grade temp · Healthcare visit (other): Labor & delivery- monitoring babyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-10-22
Survey response — day 42, dose 2MedDRA: Nasal congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal CongestionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Call successfulDoes not wish to fill out VAERS report
- 2021-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Moderna | No |
| 2 | 2021-09-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 35, dose 2
Symptoms: Runny nose, sneezing, coughing, low grade temp
Healthcare visit (other): Labor & delivery- monitoring baby
Release 10 — day 42, dose 2
Symptoms: Nasal Congestion
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 | · | · | ✓ |
| HCVO | Pregnancy | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release