AS5-22804-94538
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
-
2021-03-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-29
-
2021-04-07
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Rash erythematous — Feeling: GoodFree text: Red rash Covid armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
-
2021-04-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tirednessAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · ChillsAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-28
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
-
2021-05-31
Survey response — day 42, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to workFree text: A miscarriage of 10 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-21
- 2021-10-20
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Blood glucose increased, Diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: After 2 dose I had a miscarriage with 11 weeks of pregnancy. Now diabete problems, high glucose even with diet, different medications or exercise,MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-25
- 2022-04-28
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Red rash Covid arm
Release 8 — day 42, dose 2
Symptoms: A miscarriage of 10 weeks pregnant
Release 11 — 12 months, dose 2
Symptoms: After 2 dose I had a miscarriage with 11 weeks of pregnancy. Now diabete problems, high glucose even with diet, different medications or exercise,
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 | Blood glucose increased | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release