K93-71738-27579
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 714 / LA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-11
- 2021-02-16
-
2021-02-23
Survey response — day 21, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Cough, sore throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Fair · Be unable to workFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — 3 months, dose 2MedDRA: Back pain, Diarrhoea, Headache, Pain — Feeling: Poor · Be unable to work or attend schoolFree text: Aches, headache, back pain and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-02-02
Survey response — 12 months, dose 2MedDRA: Bronchitis, COVID-19, Headache, Postmenopausal haemorrhage, Reaction to previous exposure to any vaccine, Uterine dilation and curettage — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I had Covid 19 once and bronchitis for over a month. I had to have a DNC for post menopausal bleeding. Severe head aches like the ones I had after the 2nd vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-02 | Successful 2022-02-04 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 21, dose 2
Symptoms: Cough, sore throat, runny nose
Release 5 — day 42, dose 2
Symptoms: Headache
Release 8 — 3 months, dose 2
Symptoms: Aches, headache, back pain and diarrhea
Release 11 — 12 months, dose 2
Symptoms: I had Covid 19 once and bronchitis for over a month. I had to have a DNC for post menopausal bleeding. Severe head aches like the ones I had after the 2nd vaccine
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release