775-30209-95859
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 828 / WY
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-05-12
Registered in v-safe
-
2021-05-12
Dose 2 — Moderna
-
2021-05-12
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-14
- 2021-05-15
- 2021-05-17
- 2021-05-19
- 2021-05-26
-
2021-06-04
Survey response — day 21, dose 2MedDRA: Fatigue, Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Stuffy/runny nose, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
-
2021-11-11
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnant and a miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-12
- 2022-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 8 — day 21, dose 2
Symptoms: Stuffy/runny nose, fatigue
Release 10 — 6 months, dose 2
Symptoms: Pregnant and a miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release