T5Z-32133-97598
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-21
Dose 2 — Moderna
-
2021-04-23
Registered in v-safe
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-26
- 2021-06-02
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: I had a cold lasting about 5 days including a cough. I tested negative for COVID.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Allergies and possible related asthma attackMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Dose 3 — Moderna
- 2022-04-21
- 2022-05-19
-
2022-11-20
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, COVID-19 — 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: Miscarriage at 10 weeks on 7/7/22 (after covid positive; between second and third vaccines)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-20
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 prEmergency room or emergency department visit · 1 call case(s)
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-20 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: I had a cold lasting about 5 days including a cough. I tested negative for COVID.
Release 10 — 6 months, dose 2
Symptoms: Allergies and possible related asthma attack
Release 12 — 12 months, dose 3
Symptoms: Miscarriage at 10 weeks on 7/7/22 (after covid positive; between second and third vaccines)
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 | Abortion spontaneous | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release