4S3-23922-05889
2 vaccinations
12 coded responses
23 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 117 / NY
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: I'm 13 weeks pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: FairFree text: Pregnancy-14 weeks tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · NauseaFree text: I'm 14 weeks pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Headache, Fatigue or tirednessFree text: 14 weeks pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-14
- 2021-04-20
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2021-04-27
Dose 2 — Moderna
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2021-04-27
Survey response — day 0, dose 2MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessFree text: Almost 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Almost 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Almost 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessFree text: 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Good · Headache, Fatigue or tirednessFree text: 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: 18 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-05-18
Survey response — day 21, dose 2MedDRA: Hypersensitivity — Feeling: GoodFree text: My allergies have been terrible lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Had a head cold a few weeks ago.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-26
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-31 | priority 2/3 |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I'm 13 weeks pregnant.
Systemic reaction (other): Pregnancy-14 weeks tomorrow
Systemic reaction (other): I'm 14 weeks pregnant.
Systemic reaction (other): 14 weeks pregnant.
Release 8 — day 0, dose 2
Systemic reaction (other): Almost 18 weeks pregnant
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Almost 18 weeks pregnant
Systemic reaction (other): Almost 18 weeks pregnant
Systemic reaction (other): 18 weeks pregnant
Systemic reaction (other): 18 weeks pregnant
Release 8 — day 7, dose 2
Systemic reaction (other): 18 weeks pregnant
Release 8 — day 21, dose 2
Symptoms: My allergies have been terrible lately.
Release 9 — 3 months, dose 2
Symptoms: Had a head cold a few weeks ago.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release