Y4S-29162-25059
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 781 / TX
- Registered
- 2021-06-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-12
Dose 1 — Moderna
-
2021-06-09
Registered in v-safe
-
2021-06-09
Dose 2 — Moderna
- 2021-06-09
-
2021-06-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-06-11
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-07-07
-
2021-07-14
Survey response — day 35, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough and respiratory congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-21
- 2021-09-08
- 2021-12-08
-
2022-06-09
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriag · Healthcare visit (other): Doctor visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-09
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-09 | Unsuccessful |
Free text
Release 9 — day 35, dose 2
Symptoms: Cough and respiratory congestion.
Release 12 — 12 months, dose 2
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 | Abortion spontaneous | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release