B94-31907-71197
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Found out im pregnant. Currently 4 or 5 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — day 14, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-08
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Hives from booster · Healthcare visit (other): Allergy specialistsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-04
-
2022-02-07
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating
Release 4 — day 7, dose 2
Systemic reaction (other): Found out im pregnant. Currently 4 or 5 weeks
Release 4 — day 14, dose 2
Symptoms: Pregnant
Release 11 — 12 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release