53U-65989-47176
1 vaccination
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 801 / CO
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
-
2021-02-17
Survey response — day 0, dose 1MedDRA: Arthralgia, Injection site pain, Pain, Pain in extremity — Feeling: Good · Site: Pain · Diarrhea, Abdominal painFree text: Moderate pain when lift arm above shoulder (arm that received injection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Medical counselling, Pregnancy, Sciatica, Unevaluable event — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sciatica and heartburn but due to pregnancy I believe · Healthcare visit (other): Phone call, I think symptoms due to pregnancy thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-20 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Moderate pain when lift arm above shoulder (arm that received injection)
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sciatica and heartburn but due to pregnancy I believe
Healthcare visit (other): Phone call, I think symptoms due to pregnancy though
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | · | ✓ |
| HCVO | Pregnancy | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ○ | ✓ | ○ |
| SRO | Injection site pain | ○ | ✓ | ○ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Sciatica | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release