CC6-61769-92188
5 vaccinations
2 coded responses
52 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 151 / PA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-10-24
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 3MedDRA: Office visit, Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Post menopausal bleeding. Started about 1 month after booster. · Healthcare visit (other): Visit and work up for the condition. Have a D&c scheduled for 2 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-27
-
2022-01-27
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-12
Dose 4 — Moderna
- 2022-04-26
- 2022-04-26
- 2022-05-05
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-14
-
2022-10-02
Dose 5 — ModernaCo-administered: Flu
-
2022-10-05
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue — Feeling: Good · Site: PainFree text: I did have fatigue the first day of my injection in the evening. It was gone by the next eveningMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-08
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2023-01-03
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-10-02 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-23 | Successful 2022-01-27 |
Participant prefers to complete VAERS report online |
Free text
Release 11 — 3 months, dose 3
Symptoms: Post menopausal bleeding. Started about 1 month after booster.
Healthcare visit (other): Visit and work up for the condition. Have a D&c scheduled for 2 weeks
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I did have fatigue the first day of my injection in the evening. It was gone by the next evening
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ○ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release