BEY-51991-36621
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · FeverFree text: Just environmental allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus, Pruritus, Rhinorrhoea — Feeling: FairFree text: I feel a little itchy, my eyes are itchy and i have a little nasal drip. Im nearly certain this is spring allergies but wanted to mention it in case it matters for you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: FairFree text: Post nasal drip and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-28
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: One of my legs hurts. Its strange.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-05-03
- 2021-05-10
- 2021-05-18
- 2021-07-07
-
2021-10-04
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I've had a miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-21
-
2021-11-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-04 | Successful 2021-11-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Just environmental allergies
Systemic reaction (other): I feel a little itchy, my eyes are itchy and i have a little nasal drip. Im nearly certain this is spring allergies but wanted to mention it in case it matters for you.
Release 5 — day 7, dose 1
Systemic reaction (other): Post nasal drip and sore throat
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): One of my legs hurts. Its strange.
Release 10 — 6 months, dose 2
Symptoms: I've had a miscarriage
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 | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release