AC4-31744-74639
4 vaccinations
6 coded responses
17 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Vaginal haemorrhage — Feeling: Good · Site: Pain, SwellingFree text: Vaginal BleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-23
- 2021-03-09
-
2021-03-12
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-11
-
2021-04-16
Survey response — day 35, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Abdominal discomfort and upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
-
2021-06-11
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-10
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: Pregnancy and miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
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)
- 2021-09-13
-
2021-09-13
Call successfulParticipant prefers to complete VAERS report online
-
2021-12-18
Dose 3 — Moderna
-
2022-03-14
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Dose 4 — Moderna
- 2022-12-12
-
2022-12-15
Survey response — day 14, dose 4MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
| 4 | 2022-12-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-16 | Successful | Participant prefers to complete VAERS report online |
| 2021-09-10 | Successful 2021-09-13 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Vaginal Bleeding
Release 7 — day 35, dose 2
Symptoms: Abdominal discomfort and upset stomach
Release 9 — 3 months, dose 2
Symptoms: Joint pain
Release 9 — 6 months, dose 2
Symptoms: Pregnancy and miscarriage
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
Release 12 — day 14, dose 4
Symptoms: Headaches
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release