AJP-27323-94116
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 800 / CO
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-03
- 2021-04-12
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-20
- 2021-04-26
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: Pregnancy lossMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
-
2021-10-21
Dose 3 — Moderna
-
2021-10-28
Health check-in — day 7, dose 3Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-06
-
2021-11-11
Survey response — day 21, dose 3MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: Headache, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — day 28, dose 3MedDRA: Headache, Increased viscosity of upper respiratory secretion, Oropharyngeal pain, Pain, Productive cough, Secretion discharge — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat, body ache, headache and coughing up thick sticky mucusMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
- 2022-01-22
-
2022-04-21
Survey response — 6 months, dose 3MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-28
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-21 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth
Release 9 — 3 months, dose 2
Symptoms: Pregnancy loss
Release 10 — day 21, dose 3
Symptoms: Headache, sore throat, cough
Release 10 — day 28, dose 3
Symptoms: Sore throat, body ache, headache and coughing up thick sticky mucus
Release 11 — 6 months, dose 3
Symptoms: Cough
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release