97H-63985-71946
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Survey response — day 7, dose 1MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Site: Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I am congested - caught a cold from my sonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-07
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
-
2021-03-07
Survey response — day 28, dose 2MedDRA: Diarrhoea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, diarrhea (caught from my sons day care)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-18
- 2021-03-21
- 2021-05-10
-
2021-08-08
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: Miscarriage last weekMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | Unsuccessful |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I am congested - caught a cold from my son
Release 5 — day 28, dose 2
Symptoms: Fever, diarrhea (caught from my sons day care)
Release 9 — 6 months, dose 2
Symptoms: Miscarriage last week
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 | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release