D7W-43088-49910
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 616 / IL
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 2 — Moderna
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2021-04-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Site: Pain · Joint painsFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding, Menstruation irregular — Feeling: GoodFree text: Irregular menstruation/spotting just began yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 7, dose 2MedDRA: Menstrual disorder — Feeling: GoodFree text: My (3wk early) period continues.... you guys should be looking into how the vaccine can affect menstration!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
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2021-12-16
Dose 3 — ModernaCo-administered: Flu
- 2021-12-16
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2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-12-21
- 2021-12-22
- 2021-12-23
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2021-12-30
Survey response — day 14, dose 3MedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-17
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2022-06-16
Survey response — 6 months, dose 3MedDRA: Office visit, Pregnancy, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy, positive Covid test · Healthcare visit (other): Normal OB appointmentMedDRA releases: 2024-11 · check-in free text available
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2022-06-16
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2022-06-17
Call successfulParticipant prefers to complete VAERS report online
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-16 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Hot flashes
Systemic reaction (other): Irregular menstruation/spotting just began yesterday.
Release 7 — day 7, dose 2
Systemic reaction (other): My (3wk early) period continues.... you guys should be looking into how the vaccine can affect menstration!
Release 10 — day 14, dose 3
Symptoms: Runny nose, sneezing
Release 12 — 6 months, dose 3
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 | Office visit | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release