22P-13828-42756
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 338 / FL
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-08-19
Registered in v-safe
-
2021-08-19
Dose 1 — Moderna
- 2021-08-19
-
2021-08-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-21
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Muscle or body achesMedDRA releases: 2021-09,2024-11 · check-in answers available
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-26
-
2021-09-02
Survey response — 14 day, dose 1MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-02
Report sent to call center — 14 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-08
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-12
Survey response — 21 day, dose 1MedDRA: Chills, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-02 | Successful 2021-09-08 |
Participant prefers to complete VAERS report online |
Free text
Release 9
Systemic reaction (other): Pregnancy
Symptoms: High blood pressure.
Symptoms: Fever, chills
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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Hypertension | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release