JTV-25703-18554
5 vaccinations
2 coded responses
69 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-11-03
Dose 3 — Moderna
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
-
2022-06-02
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest congestion and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-03
- 2022-07-20
- 2022-10-19
-
2022-11-04
Dose 5 — Moderna
- 2022-11-04
-
2022-11-05
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-11-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-11-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2023-02-03
-
2023-05-05
Survey response — 6 months, dose 5MedDRA: Cardiac murmur, Office visit, Surgery, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-05
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2023-05-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-11-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-02 | Successful 2023-05-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-05-05 | Successful 2023-05-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 11 — day 42, dose 4
Symptoms: Chest congestion and cough
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 | Surgery | · | · | ✓ |
| SD | Cardiac murmur | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release