KHL-18533-92850
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 302 / GA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Survey response — day 0, dose 2MedDRA: Back pain — Feeling: Good · Site: Pain · HeadacheFree text: Back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Headache, NauseaFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Dyspnoea — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Covid.. on breathing treatments and inhaler · Healthcare visit (other): Caught Covid couldn't breathe and coughing was horribleMedDRA releases: 2024-11 · check-in free text available
-
2022-04-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-04-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Back ache
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Back pain
Release 8 — day 35, dose 2
Symptoms: Headaches
Release 11 — 12 months, dose 2
Symptoms: Covid.. on breathing treatments and inhaler
Healthcare visit (other): Caught Covid couldn't breathe and coughing was horrible
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 | Cough | · | · | ✓ |
| HCVO | COVID-19 | · | · | ✓ |
| HCVO | Dyspnoea | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release