9WZ-16762-64067
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 431 / OH
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection sight pain.. punched by an elephantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-19
- 2021-04-21
- 2021-04-24
- 2021-04-29
- 2021-05-08
-
2021-05-13
Dose 2 — Moderna
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Weekest cold sore iv ever had. Usually I get a swollen and ozzy lip sore. 3 weeks to heal. This one is tiny and almost gone. It came the day after my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-10
- 2021-06-19
- 2021-08-12
-
2021-11-11
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · 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: Miscarriage at 10.6 weeksMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — 6 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)
- 2021-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Injection sight pain.. punched by an elephant
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Weekest cold sore iv ever had. Usually I get a swollen and ozzy lip sore. 3 weeks to heal. This one is tiny and almost gone. It came the day after my shot.
Release 10 — 6 months, dose 2
Symptoms: Miscarriage at 10.6 weeks
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 | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release