DR5-15969-44839
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 523 / IA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-04
- 2021-04-06
- 2021-04-16
- 2021-04-25
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-06
- 2021-05-27
- 2021-06-03
- 2021-07-29
- 2021-10-30
-
2021-12-06
Dose 3 — Pfizer-BioNTech
- 2021-12-10
- 2021-12-11
- 2021-12-15
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-12
- 2022-01-17
- 2022-03-07
-
2022-06-06
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I was pregnant, but miscarried early at 5 weeks. Common I hearMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-07
Call successfulNot applicable - Accidental Reporting
-
2022-12-06
Survey response — 12 months, dose 3MedDRA: Oropharyngeal pain, Pregnancy, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, congestion PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-12-06 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-06 | Successful 2022-06-07 |
Not applicable - Accidental Reporting |
Free text
Release 11 — 6 months, dose 3
Symptoms: I was pregnant, but miscarried early at 5 weeks. Common I hear
Release 12 — 12 months, dose 3
Symptoms: Sore throat, congestion Pregnancy
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release