2J6-10857-47631
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 570 / SD
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
-
2021-01-05
Survey response — 7 day, dose 1MedDRA: Abortion spontaneous — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-06
Survey response — 14 day, dose 1MedDRA: Headache — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-13
-
2021-01-21
Dose 2 — Moderna
-
2021-01-21
Survey response — 28 day, dose 1MedDRA: Muscle twitching — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-02-11
- 2021-02-21
-
2021-02-25
Survey response — 35 day, dose 2MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-25
Report sent to call center — 35 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-04-22
- 2021-07-22
- 2021-09-02
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-25 | Unsuccessful |
Free text
Release 1
Systemic reaction (other): Miscarriage on Jan 2nd
Symptoms: Headache
Release 2
Symptoms: Hand twitching
Release 4
Symptoms: Shingles
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 | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release