2XP-96186-74489
3 vaccinations
2 coded responses
32 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 971 / OR
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6PY-19672-43700
Child or adolescent in my care · Male · 2021-11-20
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
-
2021-01-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-11
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-02
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-11-19
Dose 3 — Moderna
- 2021-11-20
- 2021-11-25
- 2021-11-28
- 2021-12-03
- 2021-12-12
-
2021-12-17
Survey response — day 28, dose 3MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain, Pregnancy, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, fatigue. My children have a cold that I believe they've passed to me. I'm taking a lot of naps due to the cold and being 33 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-02-19
-
2022-05-20
Survey response — 6 months, dose 3MedDRA: Chills, Diarrhoea, Fatigue, Nausea, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose, congestion, fatigue, chills, nausea, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-24
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-20 | Successful 2022-05-24 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — day 28, dose 3
Symptoms: Sore throat, fatigue. My children have a cold that I believe they've passed to me. I'm taking a lot of naps due to the cold and being 33 weeks pregnant.
Release 11 — 6 months, dose 3
Symptoms: Runny nose, congestion, fatigue, chills, nausea, diarrhea
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release