3QB-17035-98838
4 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activitiesno matching call case
- 2021-01-08
- 2021-01-10
-
2021-01-11
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Ipsilateral axillary painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-03
- 2021-03-08
- 2021-03-15
- 2021-05-03
-
2021-08-02
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: GoodFree text: Pregnant, then had a miscarriage at 7 weeksMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-19
Dose 3 — Moderna
-
2022-02-01
Survey response — 12 months, dose 2MedDRA: Pregnancy, Prenatal care — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am pregnant · Healthcare visit (other): routine prenatal careMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-03
-
2022-02-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-20
-
2022-09-27
Dose 4 — Moderna
- 2022-10-06
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-02
- 2022-11-10
-
2022-12-27
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got Covid infectionMedDRA releases: 2024-11 · check-in free text available
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-01 | Successful 2022-02-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
1 report(s) with no call case — see the timeline.
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Ipsilateral axillary pain
Release 9 — 6 months, dose 2
Symptoms: Pregnant, then had a miscarriage at 7 weeks
Release 11 — 12 months, dose 2
Release 12 — 3 months, dose 4
Symptoms: Got Covid infection
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 | Prenatal care | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release