NVG-28028-53639
2 vaccinations
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 783 / TX
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Moderna
-
2021-03-25
Dose 2 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Health check-in — day 7, dose 2Feeling: Poor · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-24
Survey response — day 28, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: FairFree text: Trouble breathing, get tried fast.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: BreathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 42, dose 2MedDRA: Decreased appetite, Dyspnoea, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Trouble breathing, headaches, not hungry · Healthcare visit (other): Doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
- 2021-06-24
- 2021-09-23
-
2022-03-28
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Dyspnoea exertional, Fatigue, Gait disturbance, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Trouble breathing and can't walk a lot without having trouble breathing and getting tired · Healthcare visit (other): My doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-29
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 28, dose 2
Symptoms: Trouble breathing, get tried fast.
Release 8 — day 35, dose 2
Symptoms: Breathing
Release 8 — day 42, dose 2
Symptoms: Trouble breathing, headaches, not hungry
Healthcare visit (other): Doctor visit
Release 11 — 12 months, dose 2
Symptoms: Trouble breathing and can't walk a lot without having trouble breathing and getting tired
Healthcare visit (other): My doctor
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 | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release