BF6-29172-62425
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 939 / CA
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-08
Registered in v-safe
-
2021-05-08
Dose 1 — Moderna
- 2021-05-08
- 2021-05-11
- 2021-05-12
- 2021-05-13
-
2021-06-05
Dose 2 — Moderna
-
2021-06-05
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-12
Survey response — day 35, dose 2MedDRA: Abnormal dreams, Fatigue, Insomnia, Oropharyngeal pain — Feeling: PoorFree text: Sore throat, weird dreams, hard to sleep, but I'm tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-17
Survey response — day 42, dose 2MedDRA: Hypoaesthesia — Feeling: FairFree text: Numb left arm from top to bottom. This is the arm I got the shot it. The feeling feels like my hand feel asleep, but hasnt woken up. Had this for about a week.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-04
Survey response — 3 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Fair · 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 visitFree text: Ectopic pregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-09-07
Call successfulParticipant prefers to complete VAERS report online
-
2022-06-07
Survey response — 12 months, dose 2MedDRA: Ectopic pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ectopic pregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-08 | Moderna | |
| 2 | 2021-06-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-04 | Successful 2021-09-07 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 35, dose 2
Symptoms: Sore throat, weird dreams, hard to sleep, but I'm tired
Release 9 — day 42, dose 2
Symptoms: Numb left arm from top to bottom. This is the arm I got the shot it. The feeling feels like my hand feel asleep, but hasnt woken up. Had this for about a week.
Release 9 — 3 months, dose 2
Symptoms: Ectopic pregnancy
Release 11 — 12 months, dose 2
Symptoms: Ectopic pregnancy
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 | Abnormal dreams | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release