52B-10152-21055
5 vaccinations
4 coded responses
36 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 152 / PA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 1 — Moderna
-
2021-01-31
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-16
- 2021-02-23
-
2021-02-28
Dose 2 — Moderna
-
2021-02-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-16
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-06-01
- 2021-08-30
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-11-01
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: A coldMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Dose 4 — Pfizer-BioNTech
-
2022-10-01
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-25
-
2022-10-25
Survey response — 12 months, dose 3MedDRA: Hypertension, 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 visit, HospitalizationFree text: High blood pressure related to pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-10-26
Call successfulNot applicable - Accidental Reporting
-
2022-11-05
Survey response — day 35, dose 5MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2023-01-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-15 | Pfizer-BioNTech | No |
| 5 | 2022-10-01 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-25 | Successful 2022-10-26 |
Not applicable - Accidental Reporting |
Free text
Release 10 — day 35, dose 3
Symptoms: A cold
Release 11 — 3 months, dose 3
Symptoms: Pregnancy
Release 12 — 12 months, dose 3
Symptoms: High blood pressure related to pregnancy
Release 12 — day 35, dose 5
Symptoms: Sore throat
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 | Hypertension | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release