TQ6-32613-69734
1 vaccination
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 360 / AL
- Registered
- 2021-08-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R3B-16987-01941
Adult relative or friend · Male · 2021-08-06
Timeline
-
2021-07-14
Dose 1 — Moderna
-
2021-08-06
Registered in v-safe
- 2021-08-06
-
2021-08-28
Survey response — day 42, dose 1MedDRA: COVID-19, Office visit, Pain — 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 · Telehealth, virtual health, or email health consultationFree text: Body aches. Went to doctor. I have covidMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Report sent to call center — day 42, dose 1Be 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)
- 2021-08-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 42, dose 1
Symptoms: Body aches. Went to doctor. I have covid
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 | COVID-19 | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release