W5H-45361-63530
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 775 / TX
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4QM-32179-35885
Child or adolescent in my care · Female · 2022-06-29
ZKQ-71098-41598
Adult relative or friend · Male · 2022-06-29
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Injection site swelling, redness, itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-23
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-12
- 2021-07-30
-
2021-10-08
Dose 3 — Moderna
-
2021-10-24
Survey response — day 14, dose 3MedDRA: Chills, Diarrhoea, Nausea, Pain, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Chills, body aches, nausea, vomiting, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
-
2021-11-05
Survey response — day 28, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-19
-
2022-01-07
Survey response — 3 months, dose 3MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
-
2022-10-08
Survey response — 12 months, dose 3MedDRA: Dizziness, Tachycardia — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Dizziness, tachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Report sent to call center — 12 months, dose 3Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-08 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Injection site swelling, redness, itching
Release 10 — day 14, dose 3
Symptoms: Chills, body aches, nausea, vomiting, diarrhea
Release 10 — day 28, dose 3
Symptoms: Headache
Release 10 — 3 months, dose 3
Symptoms: COVID symptoms
Release 12 — 12 months, dose 3
Symptoms: Dizziness, tachycardia
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release