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AXN-11052-37024

2 vaccinations 1 coded response 13 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
330 / FL
Registered
2021-09-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-23
    Registered in v-safe
  2. 2021-09-23
    Dose 1 — Moderna
  3. 2021-09-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-09-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-09-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-09-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-10-02
    Survey response — day 7, dose 1
    MedDRA: Premature delivery — 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 professional · Emergency room or emergency department visit, Hospitalization
    Free text: Early pregnancy delivery (36 weeks) 9/28/21
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-02
    Report sent to call center — day 7, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  10. 2021-10-04
    Call successful
    Participant prefers to complete VAERS report online
  11. 2021-10-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-10-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-10-21
    Dose 2 — Moderna
  14. 2021-10-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-10-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-10-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-10-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-11-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-23Moderna No
22021-10-21Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — day 7, dose 1

2021-10-02

Systemic reaction (other): Early pregnancy delivery (36 weeks) 9/28/21

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

FieldPreferred term2021-092023-042024-11
SROPremature delivery · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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