N4Z-34865-91305
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 770 / TX
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-26
-
2021-05-08
Dose 2 — Moderna
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-12
- 2021-05-24
- 2021-05-31
- 2021-06-12
-
2021-06-19
Survey response — day 42, dose 2MedDRA: Rash — Feeling: FairFree text: Developed a rash on right arm/shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-11-06
-
2022-01-23
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-01-23
-
2022-01-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · ChillsAdult check-in
- 2022-01-26
- 2022-01-27
- 2022-02-16
- 2022-02-21
- 2022-04-24
-
2022-07-26
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Headache, Nasal congestion, Oropharyngeal 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 · Telehealth, virtual health, or email health consultationFree text: I had Covid. I had a cough, sore throat, headache, and nasal congestion.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-26
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-27
-
2022-07-27
Call successfulCompleted over the phone
- 2023-01-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2022-01-23 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — day 42, dose 2
Symptoms: Developed a rash on right arm/shoulder
Release 12 — 6 months, dose 3
Symptoms: I had Covid. I had a cough, sore throat, headache, and nasal congestion.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release