XS3-77461-86876
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 801 / CO
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
- 2021-02-22
- 2021-02-28
- 2021-03-08
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Muscle or body achesAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-09
- 2021-04-18
- 2021-04-24
-
2021-06-13
Survey response — 3 months, dose 2MedDRA: Cough, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have a lingering cough. Took a Covid test and it was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-12
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Im pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-03-12
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Good · 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
-
2022-03-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-13 | Successful 2021-06-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-12 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Have a lingering cough. Took a Covid test and it was negative.
Release 9 — 6 months, dose 2
Symptoms: Im pregnant
Release 11 — 12 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 | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release