494-18906-53343
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 088 / NJ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Genital rash, Pain — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Painful genital rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to work, 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: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — days 1–6 daily, 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)
-
2021-02-27
Survey response — day 7, dose 2MedDRA: Herpes zoster — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: ShinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Delivered babyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-03-22
- 2021-04-03
- 2021-05-24
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Breast mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lump in breastMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2022-02-20
Survey response — 12 months, dose 2MedDRA: Breast adenoma — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lactating adenomaMedDRA releases: 2024-11 · check-in free text available
-
2022-02-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Unsuccessful | |
| 2021-02-25 | Unsuccessful | |
| 2021-03-15 | Unsuccessful | |
| 2021-08-25 | Unsuccessful | |
| 2022-02-20 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Painful genital rash
Systemic reaction (other): Shingles
Release 4 — day 7, dose 2
Systemic reaction (other): Shingles
Release 5 — day 21, dose 2
Symptoms: Delivered baby
Release 9 — 6 months, dose 2
Symptoms: Lump in breast
Release 11 — 12 months, dose 2
Symptoms: Lactating adenoma
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 | Breast adenoma | · | · | ✓ |
| SD | Breast mass | ✓ | · | ✓ |
| SD | Delivery | ✓ | ✓ | ✓ |
| SRO | Genital rash | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release