373-28856-54906
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Redness and swelling at injection site, slightly itchy (10 days after receiving shot)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-25
Dose 2 — Moderna
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Itchy armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-22
Survey response — day 28, dose 2MedDRA: Gastrointestinal disorder, Pleural effusion, Ultrasound antenatal screen abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Anatomy scan of fetus (5months) showed mild pleural effusion and echogenic bowelMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-01
- 2021-03-08
- 2021-03-13
- 2021-04-26
- 2021-07-26
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-22 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Redness and swelling at injection site, slightly itchy (10 days after receiving shot)
Release 4 — day 14, dose 2
Symptoms: Itchy arm
Release 4 — day 28, dose 2
Symptoms: Anatomy scan of fetus (5months) showed mild pleural effusion and echogenic bowel
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 | Gastrointestinal disorder | ○ | ✓ | ○ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pleural effusion | ○ | ✓ | ○ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Ultrasound antenatal screen abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release