93F-31717-26088
3 vaccinations
4 coded responses
25 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 068 / CT
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SF2-20974-89522
Child or adolescent in my care · Male · 2023-01-16
Timeline
-
2021-05-07
Dose 1 — Moderna
-
2021-05-08
Registered in v-safe
-
2021-05-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Chills, HeadacheAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
-
2021-06-04
Dose 2 — Moderna
- 2021-06-04
-
2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-11
-
2021-06-18
Survey response — day 14, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to work or attend schoolFree text: Diarrhea and nausea several times in the last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-07-02
- 2021-07-09
- 2021-07-16
-
2021-09-03
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Head cold-exposed to RSV (young child in my home)MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-12-03
-
2022-01-15
Dose 3 — Moderna
-
2022-06-04
Survey response — 12 months, dose 2MedDRA: 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 visit, Emergency room or emergency department visitFree text: Two miscarriagesMedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-06-06
-
2023-01-16
Survey response — 12 months, dose 3MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-16
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-17
- 2023-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Moderna | |
| 2 | 2021-06-04 | Moderna | |
| 3 | 2022-01-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-04 | Unsuccessful | |
| 2023-01-16 | Unsuccessful |
Free text
Release 9 — day 14, dose 2
Symptoms: Diarrhea and nausea several times in the last week
Release 9 — 3 months, dose 2
Symptoms: Head cold-exposed to RSV (young child in my home)
Release 11 — 12 months, dose 2
Symptoms: Two 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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release