37E-21365-21994
3 vaccinations
5 coded responses
28 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 329 / FL
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
- 2021-04-17
- 2021-04-26
- 2021-05-01
-
2021-05-07
Dose 2 — Moderna
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest congestion and coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-16
- 2021-05-21
- 2021-05-30
-
2021-06-04
Survey response — day 28, dose 2MedDRA: Dysmenorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: My period become more painful and most of my bleeding happens in one day now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-08-06
- 2021-11-05
-
2021-11-19
Dose 3 — Moderna
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tirednessFree text: LightheadednessAdult check-in · check-in free text available
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
-
2021-12-10
Survey response — day 21, dose 3MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe lightheadedness, could be pregnancy related though.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-13
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
-
2022-05-20
Survey response — 6 months, dose 3MedDRA: Headache, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, stuffy nose, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-10 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Chest congestion and coughing
Release 8 — day 28, dose 2
Symptoms: My period become more painful and most of my bleeding happens in one day now.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheadedness
Release 10 — day 21, dose 3
Symptoms: Severe lightheadedness, could be pregnancy related though.
Release 11 — 6 months, dose 3
Symptoms: Sore throat, stuffy nose, headache
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheadedness
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 | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release