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EDS-11295-13928

2 vaccinations 3 coded responses 25 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
627 / IL
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-26
    Dose 2 — Moderna
  13. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  18. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-23
    Survey response — day 28, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-03
    Survey response — day 35, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-27
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous, Surgery, Uterine dilation and curettage — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Miscarried twins at 12 weeks. Had D&C. · Healthcare visit (other): Surgery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-27
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-06-03
  29. 2021-06-03
    Call successful
    Participant prefers to complete VAERS report online
  30. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-27 Successful
2021-06-03
Participant prefers to complete VAERS report online

Free text

Release 4 — day 28, dose 2

2021-02-23

Symptoms: Pregnancy

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Pregnancy

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Miscarried twins at 12 weeks. Had D&C.
Healthcare visit (other): Surgery

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
HCVOSurgery ✓ ✓ ✓
SDAbortion spontaneous ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SDUterine dilation and curettage ✓ ✓ ✓

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