823-45694-12018
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 461 / IN
- Registered
- 2021-08-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-30
Registered in v-safe
-
2021-08-30
Dose 1 — Moderna
- 2021-08-31
-
2021-09-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-06
-
2021-09-13
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in my right arm pit.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Survey response — day 21, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in right arm pit. Shot was in right arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-27
Dose 2 — Moderna
- 2021-10-04
-
2021-10-11
Survey response — day 14, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Delayed menstrual cycleMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-05
- 2021-11-08
- 2021-12-30
-
2022-03-28
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
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)
- 2022-03-29
-
2022-03-29
Call successfulParticipant prefers to complete VAERS report online
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-30 | Moderna | No |
| 2 | 2021-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-28 | Successful 2022-03-29 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 14, dose 1
Symptoms: Swollen lymph nodes in my right arm pit.
Release 9 — day 21, dose 1
Symptoms: Swollen lymph nodes in right arm pit. Shot was in right arm.
Release 10 — day 14, dose 2
Symptoms: Delayed menstrual cycle
Release 11 — 6 months, dose 2
Symptoms: 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 | Lymphadenopathy | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release