SJV-31140-18734
2 vaccinations
2 coded responses
4 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 481 / MI
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-05-12
Registered in v-safe
- 2021-05-12
-
2021-05-13
Dose 2 — Moderna
-
2021-06-10
Survey response — day 28, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe sore throat, tiredGot tested for strep but it was negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-10
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-06-28
-
2022-05-13
Survey response — 12 months, dose 2MedDRA: Pregnancy, Renal pain — 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 professional · Emergency room or emergency department visitFree text: Kidney stone pain but no evidence of kidney stones (they checked every which way but are only saying it must have been...) Pregnant, due sept 29MedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-16
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 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 9 — day 28, dose 2
Symptoms: Severe sore throat, tiredGot tested for strep but it was negative
Release 11 — 12 months, dose 2
Symptoms: Kidney stone pain but no evidence of kidney stones (they checked every which way but are only saying it must have been...) Pregnant, due sept 29
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release