JEL-28911-34157
1 vaccination
2 coded responses
4 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-07
-
2021-09-15
Survey response — 6 months, dose 1MedDRA: Exposure to communicable disease, Influenza, Nasopharyngitis — Feeling: GoodFree text: Cold and flu symptoms as my daughter keeps catching bugs at preschool, including RSV that she passes to us.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Survey response — 12 months, dose 1MedDRA: COVID-19, Cough, Gastrointestinal disorder, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: We had Covid. Congestion, cough, digestive issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Report sent to call center — 12 months, dose 1Be 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)
- 2022-03-24
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 1
Symptoms: Cold and flu symptoms as my daughter keeps catching bugs at preschool, including RSV that she passes to us.
Release 11 — 12 months, dose 1
Symptoms: We had Covid. Congestion, cough, digestive issues
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 | COVID-19 | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release