XXT-13106-15458
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-08-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-09
Dose 1 — Moderna
-
2021-08-10
Dose 2 — Moderna
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2021-08-12
Registered in v-safe
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2021-08-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-08-13
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Fair · Site: Redness, Swelling, Itching · Be unable to do your normal daily activitiesFree text: Sinus congestion, sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Sinus congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Redness, Swelling, Itching · NauseaFree text: Sinus CongestionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Survey response — day 7, dose 2MedDRA: Sinus congestion — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, NauseaFree text: Sinus congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-26
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2021-08-31
Survey response — day 21, dose 2MedDRA: Office visit, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed tachycardia last week, diagnosed at my midwife appointment. TSH was normal. · Healthcare visit (other): Midwife appointment and bloodworkMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-03
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-09
- 2021-09-14
- 2021-09-21
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2021-11-09
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
- 2022-08-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-09 | Moderna | No |
| 2 | 2021-08-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-31 | Successful 2021-09-03 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus congestion, sore throat
Systemic reaction (other): Sinus congestion
Systemic reaction (other): Sinus Congestion
Release 9 — day 7, dose 2
Systemic reaction (other): Sinus congestion
Release 9 — day 21, dose 2
Symptoms: I developed tachycardia last week, diagnosed at my midwife appointment. TSH was normal.
Healthcare visit (other): Midwife appointment and bloodwork
Release 10 — 3 months, dose 2
Symptoms: Headaches
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Tachycardia | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Sinus congestion | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release