WRL-28096-13829
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 468 / IN
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-04-15
-
2021-04-30
Dose 2 — Moderna
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
-
2021-06-04
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Slight sore throat yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Survey response — day 42, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Got what seemed like a cold. Sore throat, runny nose. Was not tested for Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-31
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis — Feeling: FairFree text: Cough and cold last couple daysMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-29
-
2022-04-30
Survey response — 12 months, dose 2MedDRA: Tonsillitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I got tonsillitis in February.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-30 | Successful 2022-05-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 35, dose 2
Symptoms: Slight sore throat yesterday
Release 9 — day 42, dose 2
Symptoms: Got what seemed like a cold. Sore throat, runny nose. Was not tested for Covid.
Release 9 — 3 months, dose 2
Symptoms: Cough and cold last couple days
Release 11 — 12 months, dose 2
Symptoms: I got tonsillitis in February.
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Tonsillitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release