26K-30730-29422
3 vaccinations
7 coded responses
13 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 836 / ID
- Registered
- 2021-11-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QT8-14016-59826
Child or adolescent in my care · Male · 2022-09-29
Timeline
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2021-01-29
Dose 1 — Moderna
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2021-03-01
Dose 2 — Moderna
-
2021-11-05
Dose 3 — Moderna
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2021-11-06
Registered in v-safe
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Site: Pain · Headache, NauseaFree text: I attribute nausea to being 13 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: I believe these symptoms to be pregnancy relatedMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Conjunctivitis — Feeling: GoodFree text: Pink eye, son got it from daycare and now whole household has itMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — day 7, dose 3MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Symptoms due to pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
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2021-11-26
Survey response — day 21, dose 3MedDRA: Cough, Malaise — Feeling: GoodFree text: Dry cough, 2yo son was diagnosed with RSV recently and I got sick at about the same time.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2021-12-10
- 2021-12-17
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2022-02-04
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Had a head cold about 1-2 weeks ago.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Gave birthMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | No |
| 2 | 2021-03-01 | Moderna | No |
| 3 | 2021-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I attribute nausea to being 13 weeks pregnant
Systemic reaction (other): I believe these symptoms to be pregnancy related
Systemic reaction (other): Pink eye, son got it from daycare and now whole household has it
Release 10 — day 7, dose 3
Systemic reaction (other): Symptoms due to pregnancy
Release 10 — day 21, dose 3
Symptoms: Dry cough, 2yo son was diagnosed with RSV recently and I got sick at about the same time.
Release 11 — 3 months, dose 3
Symptoms: Had a head cold about 1-2 weeks ago.
Release 11 — 6 months, dose 3
Symptoms: Gave birth
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Conjunctivitis | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release