U25-29963-71772
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 278 / NC
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-26
-
2021-02-16
Dose 2 — Moderna
-
2021-02-23
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Rash, Treponema test false positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash. False positive syphilis test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-21
- 2021-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 28, dose 2
Symptoms: Rash. False positive syphilis test.
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 | Rash | ✓ | ✓ | ✓ |
| SD | Treponema test false positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release