4GS-32864-45054
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 572 / SD
- Registered
- 2021-06-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-12
Registered in v-safe
-
2021-06-12
Dose 1 — Moderna
- 2021-06-12
-
2021-06-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-19
- 2021-06-27
- 2021-07-03
-
2021-07-07
Dose 2 — Moderna
-
2021-07-07
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-07-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-07-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-14
- 2021-07-21
- 2021-07-28
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-10-06
-
2022-01-05
Survey response — 6 months, dose 2MedDRA: Influenza A virus test positive, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend schoolFree text: Influenza A and Covid positiveMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Survey response — 12 months, dose 2MedDRA: Ectopic 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: Ectopic pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Report sent to call center — 12 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)
- 2022-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-12 | Moderna | |
| 2 | 2021-07-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-07 | Unsuccessful |
Free text
Release 10 — 6 months, dose 2
Symptoms: Influenza A and Covid positive
Release 12 — 12 months, dose 2
Symptoms: Ectopic pregnancy
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 | Ectopic pregnancy | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release