BU3-22871-06928
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 494 / MI
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Moderna
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Delivery, Premature labour — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pre-term labor and baby delivery at 35 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-14
- 2021-04-15
-
2021-04-15
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-18
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
-
2021-05-23
Survey response — day 14, dose 2MedDRA: Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever 12 hours after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-11
- 2021-06-20
- 2021-08-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pre-term labor and baby delivery at 35 weeks
Release 8 — day 14, dose 2
Symptoms: Fever 12 hours after injection
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 | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Delivery | ✓ | ✓ | ✓ |
| SRO | Premature labour | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release