54M-25449-42096
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 846 / UT
- Registered
- 2021-08-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-05
Registered in v-safe
-
2021-08-05
Dose 1 — Moderna
- 2021-08-05
-
2021-08-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-08
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: I'm pregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-09
- 2021-08-10
-
2021-08-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-08-12
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-19
-
2021-08-26
Survey response — day 21, dose 1MedDRA: Bacterial vaginosis, Gastroenteritis viral — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: BV infection treated with antibiotics, stomach flu.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2021-09-02
-
2021-09-09
Dose 2 — Moderna
- 2021-09-09
-
2021-09-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-09-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-09-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-09-14
- 2021-09-15
-
2021-09-16
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pregnant, so nothing unusually symptom wiseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
-
2021-10-14
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold symptoms. Cough, chest congestion, sinus drainage, tired, headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2022-03-12
-
2022-09-11
Survey response — 12 months, dose 2MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach virusMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-05 | Moderna | No |
| 2 | 2021-09-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-26 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I'm pregnant
Release 9 — day 21, dose 1
Symptoms: BV infection treated with antibiotics, stomach flu.
Release 9 — day 7, dose 2
Systemic reaction (other): Pregnant, so nothing unusually symptom wise
Release 10 — day 35, dose 2
Symptoms: Cold symptoms. Cough, chest congestion, sinus drainage, tired, headache
Release 12 — 12 months, dose 2
Symptoms: Stomach virus
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 | Bacterial vaginosis | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release