WFB-70333-60426
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 921 / CA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-27
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain, RednessFree text: I didn't know about this application until today. I received my vaccine on 12/27. On 12/28 I had a fever, chills, body aches, and a headache. Everything resolved on 12/29. Today 12/30 I am back at work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-17
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-21
- 2021-03-02
- 2021-03-07
- 2021-04-25
-
2021-07-25
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2022-01-24
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: COVID positiveMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-25 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I didn't know about this application until today. I received my vaccine on 12/27. On 12/28 I had a fever, chills, body aches, and a headache. Everything resolved on 12/29. Today 12/30 I am back at work.
Release 9 — 6 months, dose 2
Symptoms: Sore throat
Release 11 — 12 months, dose 2
Symptoms: COVID positive
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 | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release