W66-23584-80562
4 vaccinations
2 coded responses
25 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 070 / NJ
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-19
- 2021-04-21
- 2021-04-27
- 2021-05-04
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-24
- 2021-08-12
- 2021-11-11
-
2021-12-10
Dose 3 — Moderna
- 2022-05-15
- 2022-06-10
-
2022-08-31
Dose 4 — ModernaCo-administered: Flu
-
2022-11-30
Survey response — 3 months, dose 4MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Bronchial coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-01
-
2023-03-03
Survey response — 6 months, dose 4MedDRA: Tonsillitis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-08-31 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-30 | Unsuccessful |
Free text
Release 12 — 3 months, dose 4
Symptoms: Bronchial cough
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 | Cough | · | · | ✓ |
| SD | Tonsillitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release