6RK-20245-97404
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Self-medication — Feeling: Good · Site: PainFree text: I did take 1000mg Tylenol this morning to prevent any fever/chills/aches from developing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-03
Dose 2 — Moderna
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Fair · Site: PainFree text: 15 hrs post shot had fever, chills, aches, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Irregular menstrual cyclesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-03
Survey response — 12 months, dose 2MedDRA: Office visit, Polymenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increasingly more frequent menstrual cycles, was down to 22 days between 1st day of bleeding last time. Had always been 30-31 days between cycles for past 20yrs. · Healthcare visit (other): See my GYNMedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-30
-
2022-03-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-03 | Successful 2022-03-30 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I did take 1000mg Tylenol this morning to prevent any fever/chills/aches from developing.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): 15 hrs post shot had fever, chills, aches, headache
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 9 — 6 months, dose 2
Symptoms: Irregular menstrual cycles
Release 11 — 12 months, dose 2
Symptoms: Increasingly more frequent menstrual cycles, was down to 22 days between 1st day of bleeding last time. Had always been 30-31 days between cycles for past 20yrs.
Healthcare visit (other): See my GYN
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 | Menstruation irregular | ✓ | · | ✓ |
| SD | Polymenorrhoea | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release