LTS-47365-77897
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 322 / FL
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2QE-58894-21504
Child or adolescent in my care · Male · 2022-05-30
9E7-65769-84653
Child or adolescent in my care · Female · 2022-05-30
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
- 2021-04-15
- 2021-04-22
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Headache, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Achy neck and headache. Could be due to preexisting condition. · Healthcare visit (other): Chiropractor visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
- 2021-10-29
-
2021-12-03
Dose 3 — Moderna
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
- 2021-12-24
-
2021-12-31
Survey response — day 28, dose 3MedDRA: Headache — Feeling: GoodFree text: Slight to moderate headache.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Survey response — day 35, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
-
2022-03-04
Survey response — 3 months, dose 3MedDRA: Ear pain — Feeling: GoodFree text: Sore ears, possibly an ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Survey response — 6 months, dose 3MedDRA: Cough, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Ringing ears, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-06
- 2022-06-06
-
2022-06-06
Call successfulDoes not wish to fill out VAERS report
-
2022-06-06
Call successfulDoes not wish to fill out VAERS report
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: Achy neck and headache. Could be due to preexisting condition.
Healthcare visit (other): Chiropractor visit
Release 10 — day 28, dose 3
Symptoms: Slight to moderate headache.
Release 10 — day 35, dose 3
Symptoms: Diarrhea
Release 11 — 3 months, dose 3
Symptoms: Sore ears, possibly an ear infection
Release 11 — 6 months, dose 3
Symptoms: Ringing ears, 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 | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Neck pain | ✓ | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release