KH2-12728-04017
2 vaccinations
1 coded response
16 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 294 / SC
- Registered
- 2021-08-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-24
Dose 1 — Moderna
-
2021-08-21
Registered in v-safe
-
2021-08-21
Dose 2 — Moderna
- 2021-08-21
-
2021-08-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-11-20
- 2022-02-19
-
2022-08-21
Survey response — 12 months, dose 2MedDRA: Anxiety, Back pain, Dyspnoea, Neuralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Periods of shortness of breath, anxiety Lower back pain, neuralgia affecting left legMedDRA releases: 2024-11 · check-in free text available
-
2022-08-21
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-24 | Moderna | No |
| 2 | 2021-08-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 12 months, dose 2
Symptoms: Periods of shortness of breath, anxiety Lower back pain, neuralgia affecting left leg
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 | Anxiety | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release