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BS9-26771-92034

4 vaccinations 3 coded responses 51 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
100 / NY
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-27
    Dose 2 — Moderna
  12. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-01
    Dose 3 — Moderna
    Co-administered: Flu
  27. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  28. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  29. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  30. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  31. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  32. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-11-01
    Survey response — 12 months, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-11-01
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  43. 2022-11-02
  44. 2022-11-03
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  45. 2022-11-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  46. 2022-11-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  47. 2022-11-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  48. 2022-11-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-11-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-11-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-11-10
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-11-17
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-11-24
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-12-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-02-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-05-04
    Survey response — 6 months, dose 4
    MedDRA: Pregnancy — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-11-01Moderna Flu
42022-11-03Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-11-01 Unsuccessful

Free text

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Headache

Release 12 — 12 months, dose 3

2022-11-01

Symptoms: 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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SDHeadache ✓ ✓ ✓
SDPregnancy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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