QR7-19936-22083
3 vaccinations
2 coded responses
34 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 233 / VA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-03
- 2021-04-10
-
2021-04-13
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-17
- 2021-04-24
- 2021-05-03
- 2021-06-19
- 2021-09-18
-
2021-10-23
Dose 2 — Moderna
- 2021-10-23
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-15
- 2021-11-20
- 2021-11-27
- 2021-12-06
- 2022-01-24
-
2022-04-23
Survey response — 6 month, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-10-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-30
-
2022-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-18
-
2022-12-02
Survey response — 35 day, dose 3MedDRA: Influenza — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-12-02
Report sent to call center — 35 day, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Moderna | No |
| 3 | 2022-10-28 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-21 | priority 2/3 | |
| 2022-12-02 | Unsuccessful |
Free text
Release 11
Symptoms: Had COVID-19
Release 12
Symptoms: I have the flu, type A, not covid.
Free-text releases are not linked to a specific 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 | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release