NZU-29210-11066
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 331 / FL
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
-
2021-01-17
Survey response — day 21, dose 1MedDRA: Pyrexia — Feeling: Good · Be unable to workFree text: Fever 101.2 on 12/23MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-17
-
2021-01-18
Dose 2 — Moderna
- 2021-01-18
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pyrexia — Feeling: Good · Site: Pain · Headache · Be unable to workFree text: Headache, fever, chills for 2 days after second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-16
- 2021-02-22
- 2021-03-01
-
2021-07-19
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: Im pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-18 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
1 check-in flagged for a call with no call center case on record
Free text
Release 2 — day 21, dose 1
Symptoms: Fever 101.2 on 12/23
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Headache, fever, chills for 2 days after second vaccine.
Release 9 — 6 months, dose 2
Symptoms: Im pregnant
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 | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release