XKQ-12547-03299
2 vaccinations
2 coded responses
6 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 674 / KS
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-04-06
Dose 2 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-11
-
2021-10-05
Survey response — 6 months, dose 2MedDRA: Caesarean section, Respiratory syncytial virus infection, Respiratory tract congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Cesarean, Sinus and chest congestion and sinus headache from RSVMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
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 · Hospitalization · 1 call case(s)
- 2021-10-06
-
2022-04-08
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Cold with congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-05 | Unsuccessful |
Free text
Release 10 — 6 months, dose 2
Symptoms: Cesarean, Sinus and chest congestion and sinus headache from RSV
Release 11 — 12 months, dose 2
Symptoms: Cold with 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 | Caesarean section | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release