CF5-22391-68229
5 vaccinations
1 coded response
40 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 453 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YRH-36715-76438
Other · Male · 2022-09-08
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-13
- 2021-01-15
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
-
2021-09-08
Dose 3 — Moderna
- 2021-10-25
- 2021-12-08
-
2022-03-09
Survey response — 6 months, dose 3MedDRA: Endometrial ablation, Unevaluable event, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: D&C with ablation was needed. Still having issues so yet to be resolved. · Healthcare visit (other): See above noteMedDRA releases: 2024-11 · check-in free text available
-
2022-03-09
Report sent to call center — 6 months, dose 3Be 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)
-
2022-03-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-19
Dose 4 — ModernaCo-administered: Shingles
- 2022-09-08
-
2022-11-18
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-18
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-12-02
- 2022-12-11
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-02-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
| 4 | 2022-05-19 | Moderna | Shingles |
| 5 | 2022-11-18 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-09 | Successful 2022-03-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 11 — 6 months, dose 3
Symptoms: D&C with ablation was needed. Still having issues so yet to be resolved.
Healthcare visit (other): See above note
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 | Unevaluable event | · | · | ✓ |
| SD | Endometrial ablation | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release