XAN-11256-23418
4 vaccinations
3 coded responses
46 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 232 / VA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-30
- 2021-05-03
- 2021-05-09
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
-
2021-11-06
Dose 3 — Moderna
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-02-05
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Sinus pain — 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 consultationFree text: Covid-19 - cough, sore throat, congestion, sinus pain, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-05-07
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-05-09
- 2022-11-06
-
2022-11-09
Dose 4 — Pfizer-BioNTech
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
-
2022-11-25
Survey response — day 14, dose 4MedDRA: Nausea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting, nauseaMedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
-
2022-12-14
Survey response — day 35, dose 4MedDRA: Diarrhoea, Gastroenteritis viral, Headache, Nasopharyngitis, Nausea, Rhinorrhoea, Sinus congestion, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach bug - vomit, nausea, diarrhea Cold - sinus congestion, runny nose, headacheMedDRA releases: 2024-11 · check-in free text available
- 2023-02-08
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-11-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-07 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Symptoms: Covid-19 - cough, sore throat, congestion, sinus pain, headache
Release 12 — day 14, dose 4
Symptoms: Vomiting, nausea
Release 12 — day 35, dose 4
Symptoms: Stomach bug - vomit, nausea, diarrhea Cold - sinus congestion, runny nose, headache
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release