33A-30572-92062
1 vaccination
4 coded responses
7 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 949 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-02
Dose 1 — Moderna
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2021-02-18
Registered in v-safe
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2021-02-18
Survey response — day 14, dose 1MedDRA: Abdominal pain, Pyrexia — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: 31 hours after my first vaccine on 2.2.21 I developed abdominal cramps a high fever of 102.7 degrees F. The fever broke after 3-4 hours but abdominal pain increased to ~ 8/10 and I was doubled over with pain. This last ~ 12 hours, then began to lesseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
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2021-03-02
Survey response — day 28, dose 1MedDRA: Chest discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Left sided chest discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-09
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2021-03-16
Survey response — day 42, dose 1MedDRA: Back pain, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Back and neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
- 2021-08-10
- 2021-08-13
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2022-02-04
Survey response — 12 months, dose 1MedDRA: Haematochezia, Supraventricular tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Prolonged SVT Blood in stoolMedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful | |
| 2021-03-02 | Unsuccessful | |
| 2021-03-16 | Unsuccessful | |
| 2022-02-04 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: 31 hours after my first vaccine on 2.2.21 I developed abdominal cramps a high fever of 102.7 degrees F. The fever broke after 3-4 hours but abdominal pain increased to ~ 8/10 and I was doubled over with pain. This last ~ 12 hours, then began to lesse cut off by CDC
Release 4 — day 28, dose 1
Symptoms: Left sided chest discomfort
Release 5 — day 42, dose 1
Symptoms: Back and neck pain
Release 11 — 12 months, dose 1
Symptoms: Prolonged SVT Blood in stool
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Haematochezia | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release