SYH-11575-12740
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 068 / CT
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
-
2021-03-15
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-21
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash and stomachacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Dose 2 — Moderna
-
2021-04-01
Survey response — day 21, dose 1MedDRA: Chills, Pain in extremity, Pyrexia — Feeling: Poor · Be unable to workFree text: Fever 101, chills, left arm pain after 2nd dose of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
-
2021-12-29
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Rash and stomachache
Release 6 — day 21, dose 1
Symptoms: Fever 101, chills, left arm pain after 2nd dose of vaccine
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release