XCJ-67662-82303
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 478 / IN
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, cough, sneeze, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-04
-
2021-05-06
Dose 2 — Moderna
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, NauseaFree text: Congestion, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
-
2021-05-13
Survey response — day 7, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · NauseaFree text: Cough, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
-
2021-05-27
Survey response — day 21, dose 2MedDRA: Discomfort — Feeling: FairFree text: Pressure in front pelvisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-10
- 2021-06-17
-
2021-08-05
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Fatigue, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pregnant-nausea, diarrhea, exhaustedMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-05
- 2021-11-10
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-04 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Congestion, cough, sneeze, headache, fatigue
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion, cough
Release 8 — day 7, dose 2
Systemic reaction (other): Cough, congestion
Release 8 — day 21, dose 2
Symptoms: Pressure in front pelvis
Release 9 — 3 months, dose 2
Symptoms: Pregnant-nausea, diarrhea, exhausted
Release 10 — 6 months, dose 2
Symptoms: Pregnant
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 | Diarrhoea | ✓ | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release