5V7-31701-41787
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 463 / IN
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Good · Site: Pain · Chills, DiarrheaFree text: ShakesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to workFree text: ShakeyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-03-19
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-20
Survey response — day 7, dose 1MedDRA: Vertigo — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
-
2021-04-10
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breathe & increased heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
-
2021-05-16
Survey response — day 35, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Irregular cycle. Normal cycle 28 days. After 1sr dose 24 and 2nd dose 39 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
- 2021-07-12
-
2021-10-11
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-19 | Successful 2021-12-22 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Shakes
Systemic reaction (other): Shakey
Release 6 — day 7, dose 1
Systemic reaction (other): Vertigo
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Shortness of breathe & increased heart rate
Release 8 — day 35, dose 2
Symptoms: Irregular cycle. Normal cycle 28 days. After 1sr dose 24 and 2nd dose 39 days.
Release 10 — 6 months, dose 2
Symptoms: 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 |
|---|---|---|---|---|
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release