4SH-16112-02366
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-03-28
Registered in v-safe
- 2021-03-28
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Labour pain, Uterine hypertonus — Feeling: GoodFree text: Increase in contractionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-04-09
Survey response — day 14, dose 1MedDRA: Gestational diabetes — Feeling: GoodFree text: Gestational diabetesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-20
Dose 2 — Moderna
-
2021-04-28
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
-
2021-05-04
Survey response — day 14, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Ringing in my earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: PVCsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
- 2021-06-07
- 2021-07-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Increase in contractions
Release 7 — day 14, dose 1
Symptoms: Gestational diabetes
Release 8 — day 14, dose 2
Symptoms: Ringing in my ears
Release 8 — day 21, dose 2
Symptoms: PVCs
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 | Gestational diabetes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Labour pain | ○ | ✓ | ○ |
| SRO | Uterine hypertonus | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release