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
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throat may be unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
-
2021-03-26
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Influenza — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: FluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: Complications from procedureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Aspartate aminotransferase increased, Oedema peripheral — Feeling: FairFree text: Peripheral edema and elevated ASTMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-20
Dose 3 — Moderna
- 2022-01-20
-
2022-02-19
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: Related to pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
-
2022-07-22
Survey response — 6 months, dose 3MedDRA: 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 visitFree text: Tonsillitis and pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-25
- 2022-07-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2022-01-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-21 | Unsuccessful | |
| 2022-07-22 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat may be unrelated
Release 6 — day 35, dose 2
Symptoms: Sore throat
Release 6 — day 42, dose 2
Symptoms: Flu
Release 8 — 3 months, dose 2
Symptoms: Complications from procedure
Release 9 — 6 months, dose 2
Symptoms: Peripheral edema and elevated AST
Release 11 — 12 months, dose 2
Symptoms: Related to pregnancy
Release 12 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Aspartate aminotransferase increased | ✓ | · | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Procedural complication | ✓ | ✓ | ✓ |
| SD | Tonsillitis | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release