6GG-20727-88640
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 206 / MD
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Irritability? But it might be because my toddler is full of beans today and has head butted my injection site twice and peed all over the rug twice as well. Its been a long day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-08
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-24
- 2021-10-23
-
2021-11-23
Dose 3 — ModernaCo-administered: Flu
- 2022-04-27
- 2022-05-27
-
2022-11-23
Survey response — 12 months, dose 3MedDRA: 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: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-25
-
2022-11-25
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 | 2021-03-25 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-11-23 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-23 | Successful 2022-11-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Irritability? But it might be because my toddler is full of beans today and has head butted my injection site twice and peed all over the rug twice as well. Its been a long day.
Release 12 — 12 months, dose 3
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 | Pregnancy | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release