CMZ-19759-14680
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 015 / MA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: Ovarian crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Pain under armpit where shot was doneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain under armpit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: TinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-21
Health check-in — day 7, dose 2Feeling: Fair · Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-28
- 2021-06-06
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-12
-
2021-12-03
Dose 3 — Pfizer-BioNTech
- 2022-06-05
-
2022-12-03
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Menstruation irregular — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage, irregular periodsMedDRA releases: 2024-11 · check-in free text available
-
2022-12-03
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-03 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Ovarian cramps
Systemic reaction (other): Pain under armpit where shot was done
Release 7 — day 7, dose 1
Systemic reaction (other): Pain under armpit.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling
Release 12 — 12 months, dose 3
Symptoms: Miscarriage, irregular periods
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 | Abortion spontaneous | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release