CVU-76543-35213
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 846 / UT
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
-
2021-04-15
Survey response — day 0, dose 1MedDRA: Ear pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: An inkling of an ear ache on the same side as the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-05-01
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
-
2021-08-12
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Oropharyngeal pain, Rhinorrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, diarrhea, throwing upMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-11
-
2022-05-15
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Headache — 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 · Outpatient clinic or urgent care clinic visitFree text: I don't think it's related, but I had a miscarriage at 10.5 weeks. After that I had an ongoing headache for about 5 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): An inkling of an ear ache on the same side as the shot
Release 9 — 3 months, dose 2
Symptoms: Sore throat, runny nose, diarrhea, throwing up
Release 11 — 12 months, dose 2
Symptoms: I don't think it's related, but I had a miscarriage at 10.5 weeks. After that I had an ongoing headache for about 5 days.
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 | Diarrhoea | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release