2V2-15560-28087
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 021 / MA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
- 2021-01-20
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-08-19
Dose 3 — Moderna
-
2021-11-18
Survey response — 3 months, dose 3MedDRA: Pre-eclampsia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Pre-eclampsia diagnosis.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2021-11-19
Call successfulDoes not wish to fill out VAERS report
-
2022-02-17
Survey response — 6 months, dose 3MedDRA: Pre-eclampsia, Staphylococcal 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 visit, HospitalizationFree text: Pre eclampsia; staph infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2022-02-22
Call successfulParticipant prefers to complete VAERS report online
-
2022-08-19
Survey response — 12 months, dose 3MedDRA: COVID-19, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat; had COVID in may 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-22
-
2022-08-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-08-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-18 | Successful 2021-11-19 |
Does not wish to fill out VAERS report |
| 2022-02-17 | Successful 2022-02-22 |
Participant prefers to complete VAERS report online |
| 2022-08-19 | Successful 2022-08-25 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — 3 months, dose 3
Symptoms: Pre-eclampsia diagnosis.
Release 11 — 6 months, dose 3
Symptoms: Pre eclampsia; staph infection
Release 12 — 12 months, dose 3
Symptoms: Sore throat; had COVID in may 2022
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 | COVID-19 | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Staphylococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release