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DU9-18119-60910

2 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
136 / NY
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Moderna
  3. 2021-04-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  5. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Lymph nodes swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Nausea
    Free text: Lymph nodes under arms are sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Survey response — day 21, dose 1
    MedDRA: Headache, Pain, Respiratory tract congestion — Feeling: Fair
    Free text: Congestion, body aches, headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-30
    Dose 2 — Moderna
  14. 2021-04-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-04-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache
    Adult check-in
  23. 2021-05-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-31
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Pregnancy — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got pregnant and had a miscarriage
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-07-31
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-08-03
  31. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-30
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: COVID in March
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-04-30Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-31 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Lymph nodes swollen

Release 7 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Lymph nodes under arms are sore

Release 7 — day 21, dose 1

2021-04-23

Symptoms: Congestion, body aches, headache.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Swollen lymph nodes

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Got pregnant and had a miscarriage

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: COVID in March

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ · ✓
SDCOVID-19 · · ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPregnancy ✓ · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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