4FD-24463-83062
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-02
- 2021-04-07
- 2021-04-15
-
2021-04-21
Dose 2 — Moderna
-
2021-04-22
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-30
- 2021-05-08
- 2021-05-12
- 2021-05-22
-
2021-05-26
Survey response — day 35, dose 2MedDRA: Abdominal discomfort — Feeling: FairFree text: Upset stomach constantly for a couple of weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Headache — Feeling: FairFree text: Upset stomach, headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-23
-
2021-10-21
Survey response — 6 months, dose 2MedDRA: COVID-19, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Covid positive, pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
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 prEmergency room or emergency department visit · 1 call case(s)
-
2021-10-25
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Abdominal pain upper, Chills, Hypoaesthesia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chills, stomach ache, numb legs/feet/hips (no fever but maybe a bug)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-21 | Successful 2021-10-25 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — day 35, dose 2
Symptoms: Upset stomach constantly for a couple of weeks
Release 8 — day 42, dose 2
Symptoms: Upset stomach, headaches
Release 10 — 6 months, dose 2
Symptoms: Covid positive, pregnancy
Release 11 — 12 months, dose 2
Symptoms: Chills, stomach ache, numb legs/feet/hips (no fever but maybe a bug)
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release