HZZ-10792-36233
5 vaccinations
2 coded responses
30 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-06
- 2021-01-07
- 2021-01-09
- 2021-01-24
-
2021-01-31
Dose 2 — Moderna
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-14
- 2021-02-21
- 2021-03-01
- 2021-03-07
- 2021-03-14
- 2021-05-04
-
2021-08-01
Survey response — 6 months, dose 2MedDRA: Cough, Headache, Lymphadenopathy, Oropharyngeal pain, Respiratory tract infection viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a viral respiratory infection cough/sore throat/headache/swollen glandsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-01
Report sent to call center — 6 months, 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)
- 2021-08-03
-
2021-09-29
Dose 3 — ModernaCo-administered: Flu
- 2021-10-25
- 2021-10-27
-
2021-11-10
Survey response — day 42, dose 3MedDRA: Pre-eclampsia — 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 · HospitalizationFree text: Developed preeclampsia during pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2021-11-12
Call successfulDoes not wish to fill out VAERS report
- 2021-12-29
-
2022-03-11
Dose 4 — Moderna
- 2022-03-30
-
2022-10-11
Dose 5 — Moderna
- 2022-10-13
- 2022-10-17
- 2022-10-18
- 2022-11-17
- 2022-11-24
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-09-29 | Moderna | Flu |
| 4 | 2022-03-11 | Moderna | No |
| 5 | 2022-10-11 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Had a viral respiratory infection cough/sore throat/headache/swollen glands
Release 10 — day 42, dose 3
Symptoms: Developed preeclampsia during pregnancy
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 | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Respiratory tract infection viral | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release