HCM-13535-61794
4 vaccinations
6 coded responses
31 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-20
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia, Glossodynia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workFree text: Partial loss of taste, tongue sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Difficulty sleeping but not sure its relatedoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-13
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Common cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — day 28, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
-
2021-10-29
Dose 3 — Moderna
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Got COVID in early January. Had a miscarriage as well but it seemed unrelated as the baby stopped growing before I became ill.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-07
Call successfulDoes not wish to fill out VAERS report
-
2022-09-16
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-25
- 2022-10-09
- 2022-10-23
-
2022-12-16
Survey response — 3 months, dose 4MedDRA: Cough, Laryngitis, Malaise, Pregnancy, Rhinorrhoea — Feeling: FairFree text: Pregnant, currently sick with cough, runny nose, laryngitis.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-04 | Successful 2022-03-07 |
Does not wish to fill out VAERS report |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Partial loss of taste, tongue sensitivity
Systemic reaction (other): Difficulty sleeping but not sure its relatedo
Release 6 — day 21, dose 2
Symptoms: Common cold symptoms
Release 6 — day 28, dose 2
Symptoms: Cold symptoms
Release 11 — 12 months, dose 2
Symptoms: Got COVID in early January. Had a miscarriage as well but it seemed unrelated as the baby stopped growing before I became ill.
Release 12 — 3 months, dose 4
Symptoms: Pregnant, currently sick with cough, runny nose, laryngitis.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release