84U-21679-46466
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 625 / IL
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-01-22
- 2021-01-29
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2021-02-05
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Congestion, sore throat, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint painsAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-02-16
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-06
- 2021-03-13
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2021-03-19
Survey response — day 35, dose 2MedDRA: Blood pressure increased, Peripheral swelling — Feeling: GoodFree text: Swelling of hands and legs, elevated blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-05-15
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2021-08-16
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: FairFree text: MiscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 3 miscarriagesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-12 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: Congestion, sore throat, headache
Release 5 — day 35, dose 2
Symptoms: Swelling of hands and legs, elevated blood pressure
Release 9 — 6 months, dose 2
Symptoms: Miscarriage
Release 11 — 12 months, dose 2
Symptoms: 3 miscarriages
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release