3RH-16220-83059
4 vaccinations
6 coded responses
46 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 296 / SC
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2WC-50992-84503
Child or adolescent in my care · Male · 2022-06-22
4YL-21655-46238
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Survey response — day 28, dose 2MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding, Menstrual disorder — Feeling: GoodFree text: So not a big my deal, but my cycle was a little abnormal. I track my ovulation, and that was earlier than normal and appeared to be a faster, less strong surge. And then my period was very heavy, and more clots than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-15
- 2021-07-05
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: GoodFree text: I had a miscarriage in July and am now 4 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Dose 3 — Moderna
- 2021-11-24
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-09-16
Dose 4 — ModernaCo-administered: Flu
-
2022-09-16
Survey response — day 0, dose 4MedDRA: Brain fog — Feeling: Good · Site: PainFree text: Just a little foggyMedDRA releases: 2024-11 · check-in free text available
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-24
-
2022-09-30
Survey response — day 14, dose 4MedDRA: Migraine — Feeling: FairFree text: Migraine last two daysMedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Survey response — day 21, dose 4MedDRA: Bronchitis, Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a bad cold that turned into bronchitis and sinusitis. Covid tests (two at home, one PCR) all negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-16
- 2022-10-21
- 2022-10-28
-
2022-12-16
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a bad cold. Have tested negative for covid, doctor told me to test again tomorrowMedDRA releases: 2024-11 · check-in free text available
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-16 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-07 | Successful 2022-10-10 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 28, dose 2
Symptoms: So not a big my deal, but my cycle was a little abnormal. I track my ovulation, and that was earlier than normal and appeared to be a faster, less strong surge. And then my period was very heavy, and more clots than normal.
Release 9 — 6 months, dose 2
Symptoms: I had a miscarriage in July and am now 4 weeks pregnant.
Release 12 — day 0, dose 4
Systemic reaction (other): Just a little foggy
Release 12 — day 14, dose 4
Symptoms: Migraine last two days
Release 12 — day 21, dose 4
Symptoms: I have a bad cold that turned into bronchitis and sinusitis. Covid tests (two at home, one PCR) all negative.
Release 12 — 3 months, dose 4
Symptoms: I have a bad cold. Have tested negative for covid, doctor told me to test again tomorrow
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 | Abnormal menstrual clots | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release