7KZ-24432-34820
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
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2021-01-12
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: Foggy brainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-20
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Bradyphrenia — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, DiarrheaFree text: Sluggish brainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-16
- 2021-03-09
- 2021-03-18
- 2021-03-23
- 2021-05-11
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Good · 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 visit, Emergency room or emergency department visitFree text: Ectopic pregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-12
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2021-10-23
Dose 3 — Moderna
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-28
- 2021-10-29
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage, no heart beat at 9 week ultra soundMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-10 | Unsuccessful | |
| 2021-11-09 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Foggy brain
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sluggish brain
Release 9 — 6 months, dose 2
Symptoms: Ectopic pregnancy
Release 10 — day 14, dose 3
Symptoms: Miscarriage, no heart beat at 9 week ultra sound
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 | Ectopic pregnancy | ✓ | · | ✓ |
| SRO | Bradyphrenia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release