2HP-27119-01032
4 vaccinations
1 coded response
46 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
-
2021-09-25
Dose 3 — Moderna
- 2021-09-25
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-04-30
Dose 4 — Moderna
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-07-30
- 2022-10-29
-
2023-04-30
Survey response — 12 months, dose 4MedDRA: Precancerous condition, Uterine dilation and curettage, Uterine polyp — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-04-30
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2023-05-01
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
| 4 | 2022-04-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-30 | Successful 2023-05-01 |
Not applicable - Accidental Reporting |
Free text
None.
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 |
|---|---|---|---|---|
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Precancerous condition | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release