53X-15682-08452
3 vaccinations
6 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 330 / FL
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased, Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Increased heart rate, fast heart beatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Fatigue or tirednessFree text: Cold sore on lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-05-02
- 2021-05-06
- 2021-05-15
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-11-27
Dose 3 — Moderna
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | priority 2/3 |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pregnancy
Release 6 — day 7, dose 1
Systemic reaction (other): Pregnancy
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Increased heart rate, fast heart beat
Systemic reaction (other): Sweating
Systemic reaction (other): Cold sore on lip
Systemic reaction (other): Pregnancy
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 |
|---|---|---|---|---|
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release