BAZ-16374-94514
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Moderna
-
2021-04-30
Registered in v-safe
- 2021-04-30
- 2021-05-01
-
2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-19
- 2021-05-26
-
2021-05-28
Dose 2 — Moderna
- 2021-05-29
- 2021-05-31
- 2021-06-01
- 2021-06-02
- 2021-06-06
- 2021-06-11
- 2021-06-20
- 2021-06-28
- 2021-07-02
-
2021-07-09
Survey response — day 42, dose 2MedDRA: Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A viral infection caught from my son going tk daycare.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-11-26
-
2021-12-12
Dose 3 — Moderna
- 2022-05-29
- 2022-06-12
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarraigeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-05-28 | Moderna | |
| 3 | 2021-12-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-12 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 9 — day 42, dose 2
Symptoms: A viral infection caught from my son going tk daycare.
Release 12 — 12 months, dose 3
Symptoms: Miscarraige
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 | Viral infection | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release