UKF-10883-66819
3 vaccinations
3 coded responses
40 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 130 / NY
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-16
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-30
- 2021-07-29
-
2021-10-30
Dose 3 — ModernaCo-administered: Flu
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-23
- 2021-11-27
- 2021-12-05
- 2021-12-13
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend schoolFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Survey response — 6 months, dose 3MedDRA: COVID-19, Sinus tachycardia — Feeling: Good · Be unable to work or attend schoolFree text: Sinus tachycardia after booster and daily after having covid in 1/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-10-30
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Sinus tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus tachycardia, recurrent miscarriagesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-30
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-30 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-30 | Unsuccessful |
Free text
Release 11 — 3 months, dose 3
Symptoms: Covid
Release 11 — 6 months, dose 3
Symptoms: Sinus tachycardia after booster and daily after having covid in 1/2022
Release 12 — 12 months, dose 3
Symptoms: Sinus tachycardia, recurrent miscarriages
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 | COVID-19 | · | · | ✓ |
| SD | Sinus tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release