WZB-15507-22148
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 328 / FL
- Registered
- 2021-06-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-25
Dose 1 — Moderna
-
2021-06-26
Registered in v-safe
- 2021-06-26
-
2021-06-27
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: Fair · Site: Pain, Itching · DiarrheaFree text: Itchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-28
- 2021-06-29
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-09
- 2021-07-16
-
2021-07-23
Dose 2 — Moderna
- 2021-07-23
-
2021-07-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-26
- 2021-07-27
- 2021-07-28
- 2021-07-29
- 2021-08-01
- 2021-08-06
- 2021-08-15
- 2021-08-20
- 2021-08-27
- 2021-09-03
-
2021-10-24
Survey response — 3 months, dose 2MedDRA: Pre-eclampsia — 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 · Emergency room or emergency department visit, HospitalizationFree text: PreeclampsiaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Report sent to call center — 3 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-26
Call successfulParticipant prefers to complete VAERS report online
-
2022-01-22
Survey response — 6 months, dose 2MedDRA: Chills, Fatigue, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for Covid. Fever, chills, headaches, fatigue and congestion.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-25 | Moderna | No |
| 2 | 2021-07-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-24 | Successful 2021-10-26 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy throat
Release 10 — 3 months, dose 2
Symptoms: Preeclampsia
Release 11 — 6 months, dose 2
Symptoms: I tested positive for Covid. Fever, chills, headaches, fatigue and congestion.
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release