Y39-26432-18135
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 023 / MA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Boyfriend just tested positive for COVID, so I will be getting tested on Monday 1/25.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test — Feeling: Good · Site: PainFree text: Got tested for COVID today because my boyfriend is positive, and we live together.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Good · Site: PainFree text: Tested for COVID yesterday, as my boyfriend tested positive.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-28
Survey response — day 7, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Congestion, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Asthma, Cough, Exposure to SARS-CoV-2, Office visit, Pre-existing disease, SARS-CoV-2 test negative, Unevaluable event, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Cough, wheezing (positive COVID exposure, but I tested negative x 3 tests). PCP just prescribed me Prednisone. Possible Asthma exacerbation? · Healthcare visit (other): prescribed PrednisoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-06-28
- 2021-08-19
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-04 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Boyfriend just tested positive for COVID, so I will be getting tested on Monday 1/25.
Systemic reaction (other): Got tested for COVID today because my boyfriend is positive, and we live together.
Systemic reaction (other): Tested for COVID yesterday, as my boyfriend tested positive.
Release 3 — day 7, dose 1
Systemic reaction (other): Congestion, cough
Release 3 — day 14, dose 1
Symptoms: Cough, wheezing (positive COVID exposure, but I tested negative x 3 tests). PCP just prescribed me Prednisone. Possible Asthma exacerbation?
Healthcare visit (other): prescribed Prednisone
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Asthma | ○ | ✓ | ○ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release