532-79357-46537
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 970 / OR
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-06
- 2021-01-13
-
2021-01-20
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Nausea — Feeling: GoodFree text: Nausea and upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Dose 2 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-16
- 2021-02-21
- 2021-02-28
- 2021-03-09
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: Blood pressure systolic increased, Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Since my booster I had an increase in heart rate and systolic blood pressure and it required losartinMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-31
-
2022-01-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-25 | Successful 2022-01-31 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — day 21, dose 1
Symptoms: Nausea and upset stomach
Release 11 — 12 months, dose 2
Symptoms: Since my booster I had an increase in heart rate and systolic blood pressure and it required losartin
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Blood pressure systolic increased | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release