XDE-30404-05292
4 vaccinations
1 coded response
15 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-18
-
2021-01-25
Survey response — day 21, dose 1MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, congestion, and coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Moderna
-
2021-02-15
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-02-15
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-05-06
- 2021-07-30
- 2021-08-02
-
2021-10-11
Dose 3 — ModernaCo-administered: Flu
-
2022-12-08
Dose 4 — ModernaCo-administered: Flu
-
2022-12-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-12-13
- 2022-12-27
- 2023-01-14
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-11 | Moderna | Flu |
| 4 | 2022-12-08 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Sore throat, congestion, and coughing
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release