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3HM-22136-03014

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
925 / CA
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat may be unrelated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Dose 2 — Moderna
  14. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  17. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-03-26
    Survey response — day 35, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-02
    Survey response — day 42, dose 2
    MedDRA: Influenza — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-21
    Survey response — 3 months, dose 2
    MedDRA: Procedural complication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Complications from procedure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-21
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-21
    Survey response — 6 months, dose 2
    MedDRA: Aspartate aminotransferase increased, Oedema peripheral — Feeling: Fair
    Free text: Peripheral edema and elevated AST
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2022-01-20
    Dose 3 — Moderna
  31. 2022-01-20
  32. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair
    Free text: Related to pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-04-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-07-22
    Survey response — 6 months, dose 3
    MedDRA: Pregnancy, Tonsillitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tonsillitis and pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-07-22
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  36. 2022-07-25
  37. 2022-07-25

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna
32022-01-20Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-21 Unsuccessful
2022-07-22 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Sore throat may be unrelated

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Sore throat

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Flu

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Complications from procedure

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Peripheral edema and elevated AST

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Related to pregnancy

Release 12 — 6 months, dose 3

2022-07-22

Symptoms: Tonsillitis and pregnancy

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

FieldPreferred term2021-092023-042024-11
SDAspartate aminotransferase increased ✓ · ✓
SDInfluenza ✓ ✓ ✓
SDOedema peripheral ✓ · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPregnancy · · ✓
SDProcedural complication ✓ ✓ ✓
SDTonsillitis · · ✓
SROOropharyngeal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release