D5K-20429-85320
3 vaccinations
7 coded responses
12 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 456 / OH
- Registered
- 2021-10-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
UQS-20188-27948
Child or adolescent in my care · Male · 2021-11-08
ZGB-19827-95309
Child or adolescent in my care · Male · 2021-11-08
Timeline
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2021-03-24
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Registered in v-safe
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: I'm pregnant. 1st trimester.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Therapeutic response unexpected — Feeling: GoodFree text: Feeling more energetic than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-11-01
-
2021-11-03
Survey response — day 7, dose 3MedDRA: Dyspnoea, Panic attack — Feeling: Good · Chills, Fatigue or tiredness, DiarrheaFree text: Shortness of breath and Panic attacksMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Dizziness, Dyspnoea, Fatigue, Pregnancy, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Dizziness, blurred vision, some shortness of breathe, slight fatigue ( this could also be where I am pregnant)MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Dyspnoea, Vaccine positive rechallenge — Feeling: FairFree text: Shortness of breath since vaccines. I've noticed each time I get the COVID vaccine series, I have been have some shortness of breath. I have never had covid and we practice social distancing at home.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2021-12-07
Survey response — day 42, dose 3MedDRA: Fatigue, Pain, Pregnancy — Feeling: GoodFree text: Just fatigued more, achy all over, but I'm also pregnant. So could be pregnancy related.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Antiphospholipid syndrome, Laboratory test abnormal, Pregnancy, Unevaluable event — Feeling: Good · 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: Symptoms: We discovered I have tested positive for Antiphospholipid syndrome (APS) while pregnant. We're not sure if this is something I have had or if it was triggered by something. · Healthcare visit (other): Swing a specialistMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | No |
| 2 | 2021-04-26 | Moderna | No |
| 3 | 2021-10-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-09 | Successful 2021-11-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-04-26 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I'm pregnant. 1st trimester.
Systemic reaction (other): Feeling more energetic than usual.
Release 10 — day 7, dose 3
Systemic reaction (other): Shortness of breath and Panic attacks
Release 10 — day 14, dose 3
Symptoms: Dizziness, blurred vision, some shortness of breathe, slight fatigue ( this could also be where I am pregnant)
Release 10 — day 28, dose 3
Symptoms: Shortness of breath since vaccines. I've noticed each time I get the COVID vaccine series, I have been have some shortness of breath. I have never had covid and we practice social distancing at home.
Release 10 — day 42, dose 3
Symptoms: Just fatigued more, achy all over, but I'm also pregnant. So could be pregnancy related.
Release 11 — 6 months, dose 3
Symptoms: We discovered I have tested positive for Antiphospholipid syndrome (APS) while pregnant. We're not sure if this is something I have had or if it was triggered by something.
Healthcare visit (other): Swing a specialist
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 | Antiphospholipid syndrome | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Panic attack | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Therapeutic response unexpected | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release