2Q4-30588-01227
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 136 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Related to pregnancy (not vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Pregnancy related, not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Pregnancy related, not due to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Exposure during pregnancy — Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaFree text: Pregnancy related, not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-22
- 2021-01-27
- 2021-07-07
-
2022-01-06
Survey response — 12 months, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-06 | Successful 2022-01-07 |
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): Related to pregnancy (not vaccine)
Systemic reaction (other): Pregnancy related, not the vaccine.
Systemic reaction (other): Pregnancy related, not due to the vaccine
Systemic reaction (other): Pregnancy related, not the vaccine
Release 10 — 12 months, dose 1
Symptoms: Cough and congestion
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 | Respiratory tract congestion | · | · | ✓ |
| SRO | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release