26R-33525-52134
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 240 / VA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · NauseaFree text: Nausea may be pregnancy related and not from the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-12
- 2021-01-20
-
2021-01-23
Dose 2 — Moderna
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-08
- 2021-04-26
- 2021-07-24
-
2022-01-23
Survey response — 12 months, dose 2MedDRA: Coeliac disease, Gastric ulcer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stomach Ulcers and Celiac Disease I don't have any reason to believe these diagnoses are related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-23 | Successful 2022-01-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea may be pregnancy related and not from the vaccine
Release 11 — 12 months, dose 2
Symptoms: Stomach Ulcers and Celiac Disease I don't have any reason to believe these diagnoses are related to the vaccine.
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 | Coeliac disease | · | · | ✓ |
| SD | Gastric ulcer | · | · | ✓ |
| SRO | Nausea | ○ | ○ | ○ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release