UY3-80064-57571
4 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 453 / OH
- Registered
- 2021-08-30
- Relationship
- Adult relative or friend
- Guardian
- JDT-12980-86087
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Other-Unknown
-
2021-04-23
Dose 2 — Other-Unknown
-
2021-08-30
Registered in v-safe
- 2021-10-24
-
2022-04-23
Survey response — 12 months, dose 2, dependentMedDRA: COVID-19, Delivery — 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 · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Gave birth and had COVID in JanuaryMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-04-25
-
2022-04-25
Callback requested for02:00PM ET
-
2022-04-25
Call successfulCompleted over the phone
-
2022-08-12
Dose 3 — Moderna
-
2022-08-12
Health check-in — day 0, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-08-17
- 2022-08-28
-
2022-09-09
Survey response — day 28, dose 3, dependentMedDRA: Nasopharyngitis — Feeling: FairFree text: Cold-like symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Dose 4 — Moderna
- 2022-09-30
- 2022-10-12
- 2022-10-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Other-Unknown | No |
| 2 | 2021-04-23 | Other-Unknown | No |
| 3 | 2022-08-12 | Moderna | No |
| 4 | 2022-09-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-23 | Successful 2022-04-25 |
Completed over the phone |
Free text
Release 11 — 12 months, dose 2, dependent
Symptoms: Gave birth and had COVID in January
Release 12 — day 28, dose 3, dependent
Symptoms: Cold-like symptoms
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 | Delivery | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release