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KHY-30849-68347

3 vaccinations 4 coded responses 33 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
440 / OH
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-30
    Dose 2 — Moderna
  11. 2021-04-30
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  13. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  14. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-12
    Dose 3 — Moderna
  24. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  25. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-19
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-28
    Survey response — day 14, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-19
    Survey response — day 35, dose 3
    MedDRA: Cough, Pyrexia — Feeling: Good
    Free text: Cough and fever
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-26
    Survey response — day 42, dose 3
    MedDRA: Nasal congestion — Feeling: Fair
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-13
    Survey response — 3 months, dose 3
    MedDRA: Cough, Fatigue, Nasal congestion, Pain — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Cough, stuffy nose, body aches, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-02-13
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  38. 2022-02-17
    Call successful
    Does not wish to fill out VAERS report
  39. 2022-05-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-30Moderna
32021-11-12Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 14, dose 3

2021-11-28

Symptoms: Sore throat

Release 10 — day 35, dose 3

2021-12-19

Symptoms: Cough and fever

Release 10 — day 42, dose 3

2021-12-26

Symptoms: Stuffy nose

Release 11 — 3 months, dose 3

2022-02-13

Symptoms: Cough, stuffy nose, body aches, fatigue

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDFatigue · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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