584-72685-34729
2 vaccinations
8 coded responses
20 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 190 / PA
- Registered
- 2021-09-18
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-14
Dose 1 — Moderna
-
2021-09-18
Registered in v-safe
-
2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Pain, Pregnancy — Feeling: Good · Fatigue or tirednessFree text: Some pain/discomfort near where baby's head isMedDRA releases: 2024-11 · check-in free text available
- 2021-09-19
-
2021-09-20
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I think my symptoms are more pregnancy related then to the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Survey response — day 7, dose 1MedDRA: Contusion, Ultrasound foetal abnormal — Feeling: GoodFree text: On my baby anatomy scan, a bruise was found on the placenta. To be checked in 4 weeksMedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
- 2021-10-06
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2021-10-12
Dose 2 — Moderna
- 2021-10-12
-
2021-10-13
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My baby has been moving a lot more and more agressively than usual. We're both unable to sleep. Loss of appetite.MedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-15
- 2021-10-16
-
2021-10-18
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Wheezing — Feeling: GoodFree text: I feel difficulty breathing....wheezing sometimes.MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: Poor · FeverFree text: My water broke last night 4 weeks earlier than expected. Ive been in labor now for 12 hrs and only 2 cm dialated.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-11
- 2021-11-16
- 2022-01-11
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2022-04-12
Survey response — 6 months, dose 2MedDRA: Fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stuff nose Runny nose Sore throat FatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-14
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2022-10-14
Survey response — 12 months, dose 2MedDRA: Amnesia, Asthenia, Judgement impaired, Slow speech — Feeling: GoodFree text: Memory loss, lapse in judgement, lack of energy, sluggish speechMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-14 | Moderna | No |
| 2 | 2021-10-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-12 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Some pain/discomfort near where baby's head is
Systemic reaction (other): I think my symptoms are more pregnancy related then to the vaccine
Release 9 — day 7, dose 1
Systemic reaction (other): On my baby anatomy scan, a bruise was found on the placenta. To be checked in 4 weeks
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): My baby has been moving a lot more and more agressively than usual. We're both unable to sleep. Loss of appetite.
Systemic reaction (other): I feel difficulty breathing....wheezing sometimes.
Release 10 — day 7, dose 2
Systemic reaction (other): My water broke last night 4 weeks earlier than expected. Ive been in labor now for 12 hrs and only 2 cm dialated.
Release 11 — 6 months, dose 2
Symptoms: Stuff nose Runny nose Sore throat Fatigue
Release 12 — 12 months, dose 2
Symptoms: Memory loss, lapse in judgement, lack of energy, sluggish speech
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 | Amnesia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Judgement impaired | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Slow speech | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Ultrasound foetal abnormal | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release