QAD-32522-55770
3 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 234 / VA
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
-
2021-05-01
Registered in v-safe
- 2021-05-03
- 2021-05-10
-
2021-05-20
Survey response — day 21, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-27
-
2021-12-21
Dose 3 — Moderna
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2022-01-04
- 2022-01-11
-
2022-01-18
Survey response — day 28, dose 3MedDRA: Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-01-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-25
- 2022-02-01
- 2022-03-22
-
2022-06-26
Survey response — 6 months, dose 3MedDRA: Cough, Headache, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, congestion, body aches, headacheMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Runny nose
Release 10 — day 28, dose 3
Symptoms: Dizziness
Release 12 — 6 months, dose 3
Symptoms: Cough, congestion, body aches, headache
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 | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release