4P8-23334-78070
3 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 194 / PA
- Registered
- 2022-01-27
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-05-10
Dose 2 — Moderna
-
2022-01-27
Registered in v-safe
-
2022-01-27
Dose 3 — Moderna
- 2022-01-27
-
2022-01-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-29
- 2022-01-30
-
2022-01-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Breast mass — Feeling: GoodFree text: I feel pain at the armpit I took shot & feel a lump near my breast on lateral sideMedDRA releases: 2024-11 · check-in free text available
- 2022-02-01
-
2022-02-05
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-03-03
-
2022-03-10
Survey response — day 42, dose 3MedDRA: Abortion spontaneous, Foetal death, Haemorrhage in pregnancy, Ultrasound foetal abnormal, Unevaluable event, Vaginal haemorrhage — Feeling: Poor · 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: Symptoms: I had a miscarriage! Since my last COVID vaccine. I was having vaginal spotting which was thought to be completely normal till I started bleeding more. I went and had urgent ultrasound. They said baby passed away 8 weeks same time around my COVID. · Healthcare visit (other): Urgent ultrasound.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-14
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-28
- 2022-07-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | No |
| 2 | 2021-05-10 | Moderna | No |
| 3 | 2022-01-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-10 | Successful 2022-03-14 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): I feel pain at the armpit I took shot & feel a lump near my breast on lateral side
Release 11 — day 7, dose 3
Systemic reaction (other): Sore throat
Release 11 — day 42, dose 3
Symptoms: I had a miscarriage! Since my last COVID vaccine. I was having vaginal spotting which was thought to be completely normal till I started bleeding more. I went and had urgent ultrasound. They said baby passed away 8 weeks same time around my COVID.
Healthcare visit (other): Urgent ultrasound.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Foetal death | · | · | ✓ |
| SD | Haemorrhage in pregnancy | · | · | ✓ |
| SD | Ultrasound foetal abnormal | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Breast mass | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release