6FA-22149-37229
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 299 / SC
- Registered
- 2021-07-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-23
Dose 1 — Moderna
-
2021-07-25
Registered in v-safe
-
2021-07-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Just sore at injection site but not badMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-26
- 2021-07-27
- 2021-07-28
- 2021-07-29
- 2021-07-30
- 2021-08-06
- 2021-08-13
-
2021-08-20
Dose 2 — Moderna
- 2021-08-20
- 2021-08-20
-
2021-08-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · 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: Hot from feverMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-22
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-08-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-09-03
- 2021-09-10
- 2021-09-17
-
2021-09-24
Survey response — day 35, dose 2MedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — day 42, dose 2MedDRA: Muscle spasms, Postmenopausal haemorrhage, Pre-existing disease, Vaginal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am 55 and do not have my tubes or ovaries, they were taken out in 2016 due to a colon resection due to colon cancer because of a growth on a ovary. For the past 2 days I have had vaginal bleeding and cramps. I have not had a period in 5 years!MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-06
- 2021-11-20
-
2022-02-18
Survey response — 6 months, dose 2MedDRA: Office visit, Pre-existing disease, Uterine haemorrhage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Bleeding from the uterus and I don't have tubes or ovaries since 2016. · Healthcare visit (other): Dr appt & Biopsy in hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
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 prHospitalization · 1 call case(s)
-
2022-02-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Moderna | No |
| 2 | 2021-08-20 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Just sore at injection site but not bad
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Hot from fever
Release 9 — day 35, dose 2
Symptoms: Nausea
Release 9 — day 42, dose 2
Symptoms: I am 55 and do not have my tubes or ovaries, they were taken out in 2016 due to a colon resection due to colon cancer because of a growth on a ovary. For the past 2 days I have had vaginal bleeding and cramps. I have not had a period in 5 years!
Release 11 — 6 months, dose 2
Symptoms: Bleeding from the uterus and I don't have tubes or ovaries since 2016.
Healthcare visit (other): Dr appt & Biopsy in hospital
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Uterine haemorrhage | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Feeling hot | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release