34Y-43687-06872
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 926 / CA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Dose 1 — Moderna
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2021-04-25
Registered in v-safe
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: Good · Site: PainFree text: Past 2 days moderate fatigue and headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-27
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2021-04-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Start of menstrual cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 7, dose 1MedDRA: Polymenorrhoea — Feeling: Fair · Headache, Fatigue or tirednessFree text: Menstrual cycle began yesterday, was 3 days earlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 35, dose 1MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-22
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2022-04-23
Survey response — 12 months, dose 1MedDRA: COVID-19, Caesarean section, Respiratory tract infection — 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 · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Cesarean section. Covid on January 7. Respiratory infection March 7 and April 16MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
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2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-23 | Successful 2022-04-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Past 2 days moderate fatigue and headaches
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Start of menstrual cycle
Release 8 — day 7, dose 1
Systemic reaction (other): Menstrual cycle began yesterday, was 3 days early
Release 8 — day 35, dose 1
Symptoms: Pregnancy
Release 9 — 3 months, dose 1
Symptoms: Pregnancy
Release 11 — 12 months, dose 1
Symptoms: Cesarean section. Covid on January 7. Respiratory infection March 7 and April 16
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 | Caesarean section | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Polymenorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release