22N-14513-41764
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 024 / MA
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-04-22
Registered in v-safe
-
2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-25
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-19
Dose 2 — Moderna
-
2021-05-19
Health check-in — 0 day, dose 2Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-18
- 2021-06-23
- 2021-07-02
- 2021-08-18
- 2021-11-17
-
2022-05-19
Survey response — 12 month, dose 2MedDRA: Caesarean section, Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11 · check-in answers available
-
2022-05-19
Report sent to call center — 12 month, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-05-20
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-19 | Successful 2022-05-20 |
Not applicable - Accidental Reporting |
Free text
Release 7
Systemic reaction (other): Swollen lymph node on injection side
Release 8
Systemic reaction (other): Swollen lymph node in armpit
Systemic reaction (other): Tenderness of the gland on the side of the shot
Release 11
Symptoms: I gave birth
Healthcare visit (other): C section
Free-text releases are not linked to a specific 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 | Caesarean section | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release