69U-12226-37332
3 vaccinations
2 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 305 / GA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Moderna
-
2021-04-12
Registered in v-safe
- 2021-04-14
- 2021-04-19
- 2021-04-26
-
2021-05-03
Dose 2 — Moderna
-
2021-05-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-17
- 2021-08-02
- 2021-11-01
-
2021-12-30
Dose 3 — Moderna
-
2021-12-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-02
- 2022-01-03
-
2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy, Vomiting — Feeling: Good · VomitingFree text: I doubt the vomiting is related to the vaccine and can probably be faulted to my pregnancy.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-08
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-02-04
- 2022-02-10
- 2022-03-31
-
2022-06-30
Survey response — 6 months, dose 3MedDRA: Delivery, Tooth abscess — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Pregnancy and child birth and an abscessed tooth.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-07-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-12-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-30 | Successful 2022-07-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I doubt the vomiting is related to the vaccine and can probably be faulted to my pregnancy.
Release 12 — 6 months, dose 3
Symptoms: Pregnancy and child birth and an abscessed tooth.
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 | Delivery | · | · | ✓ |
| SD | Tooth abscess | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release