B49-15799-43752
3 vaccinations
7 coded responses
32 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 919 / CA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-21
Registered in v-safe
-
2021-04-21
Dose 1 — Moderna
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
-
2021-05-12
Survey response — day 21, dose 1MedDRA: Cardiac flutter — Feeling: GoodFree text: Heart fluttersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Dose 2 — Moderna
- 2021-05-19
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pins and needles in hands and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding — Feeling: Good · Site: PainFree text: Spotting mid cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-27
- 2021-06-02
- 2021-06-09
- 2021-06-16
-
2021-06-30
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Frequent headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-18
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2021-11-17
Survey response — 6 months, dose 2MedDRA: Gastrointestinal disorder, Menstruation irregular, Palpitations — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Digestive problems. More heart palpitations. Irregular menstruation.MedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-18
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2022-02-10
Dose 3 — Moderna
- 2022-02-19
-
2022-02-24
Survey response — day 14, dose 3MedDRA: Breast tenderness — Feeling: GoodFree text: More than usual breast tenderness.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
- 2022-03-17
- 2022-03-26
- 2022-05-14
- 2022-08-11
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2023-02-13
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-19 | Moderna | |
| 3 | 2022-02-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-17 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
Symptoms: Heart flutters
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pins and needles in hands and legs
Systemic reaction (other): Spotting mid cycle
Release 9 — day 42, dose 2
Symptoms: Frequent headaches
Release 10 — 6 months, dose 2
Symptoms: Digestive problems. More heart palpitations. Irregular menstruation.
Release 11 — day 14, dose 3
Symptoms: More than usual breast tenderness.
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 | Breast tenderness | · | · | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release