V28-25656-88555
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-01-09
Health check-in — 7 day, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-01-16
Survey response — 14 day, dose 1MedDRA: Chills, Fatigue, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-16
Report sent to call center — 14 day, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
- 2021-02-22
- 2021-02-27
-
2021-03-06
Survey response — 35 day, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-14
-
2021-04-13
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-05-01
- 2021-08-02
-
2022-01-30
Survey response — 12 month, dose 2MedDRA: COVID-19, Headache, Oropharyngeal pain, Productive cough, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | priority 2/3 |
Free text
Release 2
Symptoms: Extreme fatigue, body chills, achy, nausea.
Release 5
Symptoms: Runny nose/sinus congestion, sore throat, cough
Release 11
Symptoms: COVID 19 Positive with sinus congestion, headache, productive forceful cough, and sore throat
Free-text releases are not linked to a specific 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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release