W3C-20859-68467
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 106 / NY
- Registered
- 2021-01-05
- Relationship
- Self
Timeline
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2021-01-04
Dose 1 — Moderna
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2021-01-05
Registered in v-safe
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2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Constipation — Feeling: GoodFree text: ConstipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
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2021-01-11
Survey response — day 7, dose 1MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: SweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-20
Survey response — day 14, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Tested positive for covid on 1/11MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — day 21, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-05 | priority 2/3 | |
| 2021-01-11 | priority 2/3 | |
| 2021-01-25 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Night sweats
Systemic reaction (other): Constipation
Release 1 — day 7, dose 1
Systemic reaction (other): Sweats
Release 2 — day 14, dose 1
Symptoms: Tested positive for covid on 1/11
Release 2 — day 21, dose 1
Symptoms: Covid
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 | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release