3A2-20558-21349
3 vaccinations
4 coded responses
40 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 023 / MA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-12
Survey response — day 28, dose 2MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Menstrual cycle very heavy first 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-26
Dose 3 — Moderna
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-11-28
- 2021-11-29
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tirednessFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tirednessFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-03
-
2021-12-10
Survey response — day 14, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Congested sore throat cough runny nose headache fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-17
- 2021-12-26
- 2021-12-31
- 2022-01-07
- 2022-02-27
- 2022-05-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-10 | Successful 2021-12-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — day 28, dose 2
Symptoms: Menstrual cycle very heavy first 2 days
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnancy
Systemic reaction (other): Pregnant
Release 10 — day 14, dose 3
Symptoms: Congested sore throat cough runny nose headache fatigue
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release