CNY-22210-41811
4 vaccinations
3 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 531 / WI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-03
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush, Hyperhidrosis, Lethargy, Pain in jaw — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Hot flashes, sweats, jaw pain, lethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-03
- 2021-05-04
- 2021-05-07
- 2021-05-14
- 2021-05-20
- 2021-05-26
- 2021-06-09
- 2021-07-28
-
2021-10-29
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: LactatingMedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Dose 3 — Moderna
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, COVID-19, Pregnancy — 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 professional · Emergency room or emergency department visitFree text: I got covid over christmas. I had a miscarriage over new years and i am currently 16 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-04-29
-
2022-05-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-28
-
2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2022-02-25 | Moderna | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Successful 2022-05-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Hot flashes, sweats, jaw pain, lethargy
Release 10 — 6 months, dose 2
Symptoms: Lactating
Release 11 — 12 months, dose 2
Symptoms: I got covid over christmas. I had a miscarriage over new years and i am currently 16 weeks pregnant.
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release