X2B-74975-60404
2 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 285 / NC
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-20
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Dose 2 — Moderna
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-06-01
- 2021-06-08
- 2021-07-01
- 2021-08-17
-
2021-11-16
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache going on 3 weeksMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-16 | Successful 2021-11-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — 6 months, dose 2
Symptoms: Headache going on 3 weeks
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 | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release