E56-48054-92603
4 vaccinations
6 coded responses
30 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Decreased appetite, Diarrhoea, Dizziness, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Diarrhea, nausea, unsettled stomach, headaches, dizziness, lack of a desire to eatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Feeling like Im going to faintMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I became pregnant and then miscarried.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
- 2021-10-27
-
2021-12-16
Dose 3 — Moderna
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Gastrooesophageal reflux disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Diagnosed with GERD. · Healthcare visit (other): EndoscopyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
-
2022-06-16
Survey response — 6 months, dose 3MedDRA: Pregnancy — 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: Pregnancy and its related morning sicknessMedDRA releases: 2024-11 · check-in free text available
-
2022-06-16
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-11
Dose 4 — Moderna
- 2022-12-18
-
2022-12-18
Survey response — day 35, dose 4MedDRA: Emergency care, Medical observation, Premature labour — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: I tried to fix this on my last one but it was too late to change. A day after COVID booster, ended up with preterm contractions and had to go to the hospital to get monitored as I was only 31 weeks pregnant at the time. All good now, scary timing tho · Healthcare visit (other): Was in triage on OB floor for about 6 hoursMedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-12-19
- 2022-12-21
-
2022-12-21
Call successfulCompleted over the phone
- 2022-12-23
- 2023-02-10
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-28 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-04-28 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-16 | Successful 2022-06-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-18 | Successful 2022-12-21 |
Completed over the phone |
Free text
Release 7 — day 14, dose 1
Symptoms: Diarrhea, nausea, unsettled stomach, headaches, dizziness, lack of a desire to eat
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling like Im going to faint
Release 9 — 3 months, dose 2
Symptoms: I became pregnant and then miscarried.
Release 11 — 12 months, dose 2
Release 12 — 6 months, dose 3
Symptoms: Pregnancy and its related morning sickness
Release 12 — day 35, dose 4
Symptoms: I tried to fix this on my last one but it was too late to change. A day after COVID booster, ended up with preterm contractions and had to go to the hospital to get monitored as I was only 31 weeks pregnant at the time. All good now, scary timing tho cut off by CDC
Healthcare visit (other): Was in triage on OB floor for about 6 hours
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 | Medical observation | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release