J3R-33291-10252
4 vaccinations
3 coded responses
15 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 930 / CA
- Registered
- 2022-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-27
Dose 2 — Moderna
-
2021-09-01
Dose 3 — Moderna
-
2022-04-02
Dose 4 — Moderna
-
2022-04-03
Registered in v-safe
-
2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, NauseaAdult check-in
-
2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
-
2022-04-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2022-04-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · 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 consultation, Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-04-08
Report sent to call center — days 1–6 daily, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-11
-
2022-04-16
Survey response — day 14, dose 4MedDRA: Sinusitis — Feeling: FairFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-29
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-04
-
2022-10-01
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Headache, Muscle spasms, Oropharyngeal pain, Peripheral swelling, Pyrexia, Rhinalgia — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Dry cough, fever, chills headache, sore nose/throat, swollen and crampy calfMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Report sent to call center — 6 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-03
- 2022-10-03
-
2023-04-03
Survey response — 12 months, dose 4MedDRA: Abdominal pain, Nausea — 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 professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-03
Report sent to call center — 12 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2023-04-04
Call successfulDoes not wish to fill out VAERS report
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2023-04-04
Call successfulDoes not wish to fill out VAERS report
-
2023-04-04
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | No |
| 2 | 2021-04-27 | Moderna | No |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 11 — day 14, dose 4
Symptoms: Sinus infection
Release 12 — 6 months, dose 4
Symptoms: Dry cough, fever, chills headache, sore nose/throat, swollen and crampy calf
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 | Abdominal pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinalgia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release