W5M-31376-77080
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 617 / IL
- Registered
- 2021-09-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-18
Registered in v-safe
-
2021-09-18
Dose 1 — Moderna
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-10-03
- 2021-10-11
-
2021-10-16
Dose 2 — Moderna
- 2021-10-16
-
2021-10-17
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Pregnancy — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Cramps and pregnancy discomfortMedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Intense lower back painMedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
-
2022-01-15
Survey response — 3 months, dose 2MedDRA: Ear pain, Head discomfort, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, ear aches, and head pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-01-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-18
-
2022-10-18
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: I have had COVID twice.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-18 | Moderna | No |
| 2 | 2021-10-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-15 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Cramps and pregnancy discomfort
Systemic reaction (other): Intense lower back pain
Release 10 — 3 months, dose 2
Symptoms: Sore throat, ear aches, and head pressure
Release 12 — 12 months, dose 2
Symptoms: I have had COVID twice.
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 | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release