6NC-19268-82885
3 vaccinations
9 coded responses
41 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 232 / VA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: On Day 8 mild injection site muscular pain returned randomly. It resolved by the next morning after sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Breast pain, Lymphadenopathy — Feeling: GoodFree text: Bilateral breast pain, enlarged lymph node right axillary tail x6 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Breast pain, Mastocytosis — Feeling: GoodFree text: Continued right mastodyniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Chills, Abdominal painAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
-
2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-02
-
2021-12-09
Survey response — day 35, dose 3MedDRA: Fatigue, Nausea, Pregnancy — Feeling: GoodFree text: Early pregnancy - nausea, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: COVID-19, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid + 1/1 and pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
-
2022-11-06
Survey response — 12 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): Routine prenatalMedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-06 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: On Day 8 mild injection site muscular pain returned randomly. It resolved by the next morning after sleep
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating
Release 4 — day 14, dose 2
Symptoms: Bilateral breast pain, enlarged lymph node right axillary tail x6 days
Release 4 — day 21, dose 2
Symptoms: Continued right mastodynia
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Positive pregnancy test
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat
Release 10 — day 35, dose 3
Symptoms: Early pregnancy - nausea, fatigue
Release 11 — 3 months, dose 3
Symptoms: Covid + 1/1 and pregnancy
Release 12 — 12 months, dose 3
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Mastocytosis | ○ | ✓ | ○ |
| SD | Nausea | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pregnancy test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release