7DD-25789-28775
3 vaccinations
1 coded response
5 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 397 / MS
- Registered
- 2021-12-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-02-05
Dose 2 — Moderna
-
2021-12-07
Registered in v-safe
-
2021-12-07
Dose 3 — Moderna
- 2021-12-07
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-09
- 2021-12-10
-
2022-12-09
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Appendicitis, Metabolic syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Metabolic syndrome Recurrent miscarriage · Healthcare visit (other): AppendicitisMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-12-12
-
2022-12-12
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | No |
| 2 | 2021-02-05 | Moderna | No |
| 3 | 2021-12-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-09 | Successful 2022-12-12 |
Completed over the phone |
Free text
Release 12 — 12 months, dose 3
Symptoms: Metabolic syndrome Recurrent miscarriage
Healthcare visit (other): Appendicitis
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 | Appendicitis | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Metabolic syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release