26P-12638-32888
4 vaccinations
4 coded responses
50 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 930 / CA
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-20
Registered in v-safe
-
2021-04-20
Dose 1 — Moderna
- 2021-04-20
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain in jaw — Feeling: Good · Site: Pain · HeadacheFree text: Jaw painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Dose 2 — Moderna
-
2021-05-18
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-07-01
-
2021-08-17
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Infection (not respiratory) and miscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-17
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-22
- 2021-11-16
-
2021-11-22
Dose 3 — Moderna
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 4 — Moderna
-
2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-06
- 2022-10-15
-
2022-10-27
Survey response — day 28, dose 4MedDRA: Gastrointestinal disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach illnessMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-12
- 2022-12-31
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-17 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Jaw pain
Release 9 — 3 months, dose 2
Symptoms: Infection (not respiratory) and miscarriage
Release 11 — 6 months, dose 3
Symptoms: Cold symptoms
Release 12 — day 28, dose 4
Symptoms: Stomach illness
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Infection | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release