5D7-18749-20443
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 856 / AZ
- Registered
- 2021-08-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-08
Registered in v-safe
-
2021-08-08
Dose 1 — Moderna
- 2021-08-08
-
2021-08-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: Dizzy and light headedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
- 2021-08-11
- 2021-08-13
-
2021-08-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-08-15
Health check-in — day 7, dose 1Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2021-08-15
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-08-24
Survey response — day 14, dose 1MedDRA: Bloody discharge, Emergency care, Premature labour, Pyrexia, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: ER visit 8/15/21 with preterm labor contractions. Fever on 8/18/21. Sinus infection developed. Bloody discharge 8/23/21.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — day 14, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2021-08-25
- 2021-08-30
- 2021-08-31
- 2021-09-05
- 2021-09-12
-
2021-09-17
Dose 2 — Moderna
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-08 | Moderna | No |
| 2 | 2021-09-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-15 | Unsuccessful | |
| 2021-08-24 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy and light headed
Release 9 — day 14, dose 1
Symptoms: ER visit 8/15/21 with preterm labor contractions. Fever on 8/18/21. Sinus infection developed. Bloody discharge 8/23/21.
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 | Bloody discharge | ✓ | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Premature labour | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release