VN9-33907-61008
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 628 / IL
- Registered
- 2021-08-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-31
Registered in v-safe
-
2021-08-31
Dose 1 — Moderna
- 2021-08-31
-
2021-09-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-09-03
-
2021-09-04
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Good · Muscle or body achesFree text: Chest painMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-14
- 2021-09-21
- 2021-09-28
-
2021-10-01
Dose 2 — Moderna
-
2021-10-05
Survey response — days 1–6 daily, dose 2MedDRA: Pleuritic pain — Feeling: Good · Muscle or body achesFree text: Pleuritic chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-17
- 2021-10-24
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2022-01-02
-
2022-04-03
Survey response — 6 months, dose 2MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visitFree text: COVID POSITIVE JANUARYMedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-31 | Moderna | No |
| 2 | 2021-10-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-03 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest pain
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Pleuritic chest pain
Release 11 — 6 months, dose 2
Symptoms: COVID POSITIVE JANUARY
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 | · | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Pleuritic pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release