75B-31367-43437
3 vaccinations
3 coded responses
4 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 958 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-28
Dose 2 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-07
Dose 3 — Moderna
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: Eczema, Menstruation irregular, Migraine, Vestibular migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Vestibular migraines, migraines, irregular periods and eczema episodesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-31
-
2022-01-31
Call successfulCompleted over the phone
-
2022-06-09
Survey response — 6 months, dose 3MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach fluMedDRA releases: 2024-11 · check-in free text available
-
2022-12-07
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Pregnancy, Vestibular migraine — Feeling: PoorFree text: I have a cold and I'm pregnant. I still have vestibular migraines.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-28 | Successful 2022-01-31 |
Completed over the phone |
Free text
Release 11 — 12 months, dose 2
Symptoms: Vestibular migraines, migraines, irregular periods and eczema episodes
Release 12 — 6 months, dose 3
Symptoms: Stomach flu
Release 12 — 12 months, dose 3
Symptoms: I have a cold and I'm pregnant. I still have vestibular migraines.
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 | Eczema | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Vestibular migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release