APB-23562-12548
4 vaccinations
5 coded responses
48 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 479 / IN
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PC3-66737-85923
Child or adolescent in my care · Female · 2021-11-05
DMG-88008-86224
Child or adolescent in my care · Male · 2022-06-26
L8Q-33171-22883
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
- 2021-01-06
- 2021-01-08
- 2021-01-09
- 2021-01-17
- 2021-01-24
-
2021-01-31
Dose 2 — Moderna
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 2MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach pain yesterday (also 3 weeks postpartum that may be the cause). But feeling better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-05-02
- 2021-08-01
-
2021-11-07
Dose 3 — Moderna
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
-
2021-11-21
Survey response — day 14, dose 3MedDRA: Abdominal pain upper — Feeling: GoodFree text: Stomach pain and achey 11/19 and 11/20.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Survey response — day 21, dose 3MedDRA: Respiratory symptom — Feeling: FairFree text: Upper respiratory infection symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-12
- 2021-12-19
-
2022-02-06
Survey response — 3 months, dose 3MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: GoodFree text: Covid symptoms 1/11 and positive 1/16 rapid antigen home testMedDRA releases: 2024-11 · check-in free text available
- 2022-05-08
-
2022-10-01
Dose 4 — ModernaCo-administered: Flu
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-07
- 2022-10-10
- 2022-10-15
-
2022-10-22
Survey response — day 21, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage. However, I have a history of miscarriages and I had abnormal hcgs prior to my boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-25
- 2022-11-10
- 2022-11-12
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-10-01 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-22 | Unsuccessful |
Free text
Release 4 — day 14, dose 2
Symptoms: Stomach pain yesterday (also 3 weeks postpartum that may be the cause). But feeling better today.
Release 10 — day 14, dose 3
Symptoms: Stomach pain and achey 11/19 and 11/20.
Release 10 — day 21, dose 3
Symptoms: Upper respiratory infection symptoms
Release 11 — 3 months, dose 3
Symptoms: Covid symptoms 1/11 and positive 1/16 rapid antigen home test
Release 12 — day 21, dose 4
Symptoms: Miscarriage. However, I have a history of miscarriages and I had abnormal hcgs prior to my booster
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 pain upper | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release