7ZS-28883-47525
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 075 / NJ
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
-
2021-02-26
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-14
-
2021-03-26
Dose 2 — Moderna
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to workFree text: RAsh on legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Poor · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash on feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-04-02
- 2021-04-30
- 2021-05-07
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: Had a miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-24
- 2022-01-20
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-28 | Unsuccessful | |
| 2021-03-29 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): RAsh on legs
Systemic reaction (other): Rash on feet
Systemic reaction (other): Itching
Release 9 — 3 months, dose 2
Symptoms: Had 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 | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release