48V-28833-10549
3 vaccinations
1 coded response
21 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-07
Registered in v-safe
-
2021-02-07
Dose 1 — Moderna
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-15
- 2021-03-02
- 2021-03-09
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-03-15
- 2021-03-24
- 2021-04-07
- 2021-04-16
- 2021-09-08
-
2021-11-07
Dose 3 — Moderna
-
2021-11-07
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-11-09
- 2021-11-12
- 2021-11-14
-
2021-11-28
Survey response — day 21, dose 3MedDRA: Muscle contractions involuntary, Nephrolithiasis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Kidney stone causing contractionsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2021-11-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-10
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-28 | Successful 2021-11-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 21, dose 3
Symptoms: Kidney stone causing contractions
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 | Muscle contractions involuntary | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release