653-13974-53043
4 vaccinations
3 coded responses
33 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 024 / MA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-15
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-06
Dose 2 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-20
Survey response — day 14, dose 2MedDRA: Blood glucose abnormal, Fatigue, Labile blood pressure, Pregnancy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Fatigue, labile blood pressure, labile blood glucose (likely related to pregnancy)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-27
Survey response — day 21, dose 2MedDRA: Hypoglycaemia, Pre-existing disease, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hypoglycemia (gestational diabetes on insulin)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-05-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-05-08
- 2021-08-07
-
2021-11-12
Dose 3 — Moderna
- 2022-02-06
-
2022-09-16
Dose 4 — Moderna
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-24
- 2022-10-02
- 2022-10-08
- 2022-10-14
- 2022-10-22
- 2022-12-16
-
2023-03-17
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-20 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-02-27 | Successful 2021-05-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 14, dose 2
Symptoms: Fatigue, labile blood pressure, labile blood glucose (likely related to pregnancy)
Release 4 — day 21, dose 2
Symptoms: Hypoglycemia (gestational diabetes on insulin)
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 | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoglycaemia | ✓ | ✓ | ✓ |
| SD | Labile blood pressure | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release