966-26172-51837
3 vaccinations
2 coded responses
22 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 336 / FL
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-01-29
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Joint range of motion decreased, Myalgia — Feeling: Good · Site: PainFree text: I am 6 days out and still with incomplete range of motion of vaccinated arm, muscle pain in bicepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-05-02
- 2021-07-30
-
2021-11-15
Dose 3 — Moderna
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — 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 · Emergency room or emergency department visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 12 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 prEmergency room or emergency department visit · 1 call case(s)
-
2022-02-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-29 | Successful 2022-02-03 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am 6 days out and still with incomplete range of motion of vaccinated arm, muscle pain in bicep
Release 11 — 12 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 | · | · | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release