3W8-33617-05418
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-23
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 1MedDRA: Arthralgia, Headache, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to workFree text: Sore throat, headache, body aches, sore jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-14
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-21
-
2021-04-24
Health check-in — day 7, dose 2Feeling: Good · Headache, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-08
- 2021-05-13
- 2021-05-21
- 2021-05-27
- 2021-07-15
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Hysterectomy, Systemic lupus erythematosus, Urinary bladder suspension — 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, HospitalizationFree text: Lupus, hysterectomy and bladder slingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — 6 months, dose 2Be 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 · Hospitalization · 1 call case(s)
- 2021-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-14 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: Sore throat, headache, body aches, sore joints
Release 10 — 6 months, dose 2
Symptoms: Lupus, hysterectomy and bladder sling
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
| SD | Urinary bladder suspension | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release