3AS-17754-36708
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-21
- 2021-01-25
- 2021-02-01
- 2021-02-03
- 2021-02-08
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-18
- 2021-02-23
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Cholestasis, Cholestasis of pregnancy, Pregnancy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Cholestasis of pregnancy · Healthcare visit (other): Induced delivery plannedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-09
Survey response — day 28, dose 2MedDRA: Premature baby — Feeling: Good · Be unable to workFree text: Gave birth early to babyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-16
- 2021-03-23
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | Unsuccessful | |
| 2021-03-04 | Unsuccessful |
Free text
Release 5 — day 21, dose 2
Release 5 — day 28, dose 2
Symptoms: Gave birth early to baby
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cholestasis | ○ | ✓ | ○ |
| SD | Cholestasis of pregnancy | ✓ | · | ✓ |
| SD | Pregnancy | ○ | ✓ | ○ |
| SD | Premature baby | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release