4VY-18150-30830
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
- 488 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-03-05
Dose 2 — Moderna
-
2021-03-09
Registered in v-safe
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
-
2021-03-12
Health check-in — day 7, dose 2Feeling: Good · Chills, Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-19
Survey response — day 14, dose 2MedDRA: Breast tenderness, Nausea, Parosmia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Nausea, vomiting, tender breasts, smell sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-18
Dose 3 — Moderna
- 2022-03-05
- 2022-05-19
-
2022-11-18
Survey response — 12 months, dose 3MedDRA: Pneumonia, Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, 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: Pneumonia and rsvMedDRA releases: 2024-11 · check-in free text available
-
2022-11-18
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-18 | Unsuccessful |
Free text
Release 5 — day 14, dose 2
Symptoms: Nausea, vomiting, tender breasts, smell sensitivity
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 12 — 12 months, dose 3
Symptoms: Pneumonia and rsv
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 | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release