A99-26791-88192
2 vaccinations
2 coded responses
23 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 891 / NV
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Cough, Diarrhoea, Medical counselling, Pyrexia, Upper-airway cough syndrome, Vomiting — 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 professionalFree text: Symptoms: Fever, cough, postnasal drip, vomiting, diarrhea · Healthcare visit (other): Home health dispatchMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
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 pr1 call case(s)
-
2021-12-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-13
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Got Covid again. Had a miscarriage while sick with Covid.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-14 | Successful 2021-12-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Fever, cough, postnasal drip, vomiting, diarrhea
Healthcare visit (other): Home health dispatch
Release 11 — 12 months, dose 2
Symptoms: Got Covid again. Had a miscarriage while sick with Covid.
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release