78U-29679-08348
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
- 2021-04-09
- 2021-04-10
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort, Neck pain — Feeling: Good · Muscle or body aches · Be unable to workFree text: Pain/discomfort in neck on same side as injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
-
2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Pain in jaw — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Jaw painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-06-11
Survey response — day 35, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: My menstrual period started a full week early. I am on oral contraceptives and my period is usually very predictable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
- 2021-08-08
- 2021-11-05
-
2021-12-16
Dose 3 — Moderna
-
2022-05-11
Survey response — 12 months, dose 2MedDRA: Cough — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-12
Call successfulDoes not wish to fill out VAERS report
-
2022-09-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-17
- 2022-09-21
- 2022-10-13
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-11 | Successful 2022-05-12 |
Does not wish to fill out VAERS report |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pain/discomfort in neck on same side as injection.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Jaw pain
Release 9 — day 35, dose 2
Symptoms: My menstrual period started a full week early. I am on oral contraceptives and my period is usually very predictable.
Release 11 — 12 months, dose 2
Symptoms: Cough
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 | Cough | · | · | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release