VKF-32436-05196
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 145 / NY
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: FairFree text: Sore throat and post nasal dripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-11-01
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — day 7, dose 3MedDRA: Cough — Feeling: Fair · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
-
2022-05-04
Survey response — 6 months, dose 3MedDRA: Ectopic pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Etopic pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-05
Call successfulCompleted over the phone
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-04 | Successful 2022-05-05 |
Completed over the phone |
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Sore throat and post nasal drip
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 10 — day 7, dose 3
Systemic reaction (other): Cough
Release 11 — 6 months, dose 3
Symptoms: Etopic pregnancy
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 | Ectopic pregnancy | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release