Y6S-49239-19283
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 925 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
-
2021-03-29
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-04
-
2021-04-22
Survey response — day 21, dose 1MedDRA: Office visit, Sinus headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache that feels like sinus now ten days later and wont go away · Healthcare visit (other): Primary visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Survey response — day 28, dose 1MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache every day not going away · Healthcare visit (other): In person visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-27
Call successfulDoes not wish to fill out VAERS report
- 2021-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-29 | priority 2/3 | |
| 2021-04-22 | Successful | Does not wish to fill out VAERS report |
| 2021-04-26 | Successful 2021-04-27 |
Does not wish to fill out VAERS report |
Free text
Release 7 — day 21, dose 1
Symptoms: Headache that feels like sinus now ten days later and wont go away
Healthcare visit (other): Primary visit
Release 8 — day 28, dose 1
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 | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release