DGD-26680-94001
3 vaccinations
7 coded responses
15 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 261 / WV
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5E9-25484-40805
Child or adolescent in my care · Female · 2022-01-31
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
- 2021-01-22
- 2021-01-24
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Dizziness, Nausea — Feeling: FairFree text: Nausea and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — day 21, dose 1MedDRA: Nausea — Feeling: FairFree text: Occasional nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Dose 2 — Moderna
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Good · Site: PainFree text: Occasional shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-20
-
2021-02-27
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness — 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: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-20
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Not sure if it is related to vaccine or not but I have had trouble getting pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Surgery — 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: Symptoms: Miscarriage · Healthcare visit (other): SurgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-18
-
2021-11-09
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-27 | Unsuccessful | |
| 2021-05-15 | Unsuccessful | |
| 2021-08-14 | Unsuccessful |
Free text
Release 3 — day 14, dose 1
Symptoms: Nausea and dizziness
Release 3 — day 21, dose 1
Symptoms: Occasional nausea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Occasional shortness of breath
Release 4 — day 14, dose 2
Symptoms: Stiff neck
Release 8 — 3 months, dose 2
Symptoms: Not sure if it is related to vaccine or not but I have had trouble getting pregnant.
Release 9 — 6 months, dose 2
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 | Surgery | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release