QEU-26739-82952
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 150 / PA
- Registered
- 2021-11-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-04-08
Dose 2 — Moderna
-
2021-11-10
Registered in v-safe
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-29
- 2021-12-01
- 2021-12-08
- 2021-12-15
-
2021-12-22
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Runny nose, sore throat, achyMedDRA releases: 2024-11 · check-in free text available
- 2022-02-09
- 2022-05-11
-
2022-11-10
Survey response — 12 months, dose 3MedDRA: Abdominal pain upper, Breast mass, Office visit — 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 professionalFree text: Symptoms: Currently having ultrasound for lump in breast and stomach pain. Ultrasound and gaestro visit prescribed · Healthcare visit (other): Doctor visit thus farMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — 12 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 pr1 call case(s)
- 2022-11-11
-
2022-11-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | No |
| 2 | 2021-04-08 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 42, dose 3
Symptoms: Runny nose, sore throat, achy
Release 12 — 12 months, dose 3
Symptoms: Currently having ultrasound for lump in breast and stomach pain. Ultrasound and gaestro visit prescribed
Healthcare visit (other): Doctor visit thus far
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 | Abdominal pain upper | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release