6LG-60208-86931
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 531 / WI
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
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2021-01-15
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Fatigue or tirednessAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
- 2021-01-22
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2021-01-30
Survey response — day 14, dose 1MedDRA: Diarrhoea, Headache, Pregnancy, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Most likely pregnancy related symptoms (headache, seeing spots, diarrhea)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-05
Survey response — day 21, dose 1MedDRA: Pre-eclampsia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Diagnosed with me pre-eclampsia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-12
Call successfulParticipant prefers to complete VAERS report online
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2021-07-16
Survey response — 6 months, dose 1MedDRA: Induced labour, Pre-eclampsia — 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 · Emergency room or emergency department visit, HospitalizationFree text: Pre-eclampsia and induced at 33 weeksMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | Successful | Participant prefers to complete VAERS report online |
| 2021-01-18 | Successful | Participant prefers to complete VAERS report online |
| 2021-01-30 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-05 | Successful 2021-02-12 |
Participant prefers to complete VAERS report online |
| 2021-07-16 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: Most likely pregnancy related symptoms (headache, seeing spots, diarrhea)
Release 3 — day 21, dose 1
Symptoms: Diagnosed with me pre-eclampsia.
Release 9 — 6 months, dose 1
Symptoms: Pre-eclampsia and induced at 33 weeks
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Induced labour | ✓ | · | ✓ |
| SD | Pre-eclampsia | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release