36G-33085-68482
3 vaccinations
1 coded response
35 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 770 / TX
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-26
Dose 2 — Moderna
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
-
2021-09-24
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Recent pregnancy symptoms but light positive then negative pregnancy tests- possible early first trimester miscarriage. Ongoing symptoms and testing.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-09-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-25
Dose 3 — Moderna
- 2022-03-26
-
2022-03-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-03-27
- 2022-03-28
- 2022-03-29
- 2022-03-30
- 2022-03-31
- 2022-04-01
- 2022-04-08
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-06-24
- 2022-09-23
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2022-03-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-24 | Successful 2021-09-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Recent pregnancy symptoms but light positive then negative pregnancy tests- possible early first trimester miscarriage. Ongoing symptoms and testing.
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 | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release