3D4-54048-74041
2 vaccinations
1 coded response
21 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 527 / IA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-31
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Greater trochanteric pain syndrome, Office visit, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage; trochanteric bursitis · Healthcare visit (other): Office visits; PT interventionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
-
2021-08-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | priority 2/3 | |
| 2021-08-14 | Successful 2021-08-20 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Miscarriage; trochanteric bursitis
Healthcare visit (other): Office visits; PT intervention
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 | Office visit | ✓ | · | ✓ |
| HCVO | Physiotherapy | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Greater trochanteric pain syndrome | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release