EH3-11259-55327
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 301 / GA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
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2021-01-25
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: tingling/numbness in hand (side that received the shot)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal painAdult check-in
- 2021-03-02
- 2021-03-03
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2021-03-05
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-11
- 2021-05-28
- 2021-08-28
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Foetal disorder, SARS-CoV-2 test positive, Uterine dilation and evacuation — Feeling: Fair · 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: Pregnant Received booster while pregnant Fetal diagnosis of Down's Syndrome Positive test for Covid-19 Missed Miscarriage at 16 weeks D & E procedureMedDRA releases: 2024-11 · check-in free text available
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2022-02-26
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Unsuccessful |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): tingling/numbness in hand (side that received the shot)
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Upset stomach
Release 11 — 12 months, dose 2
Symptoms: Pregnant Received booster while pregnant Fetal diagnosis of Down's Syndrome Positive test for Covid-19 Missed Miscarriage at 16 weeks D & E procedure
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 | Foetal disorder | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Uterine dilation and evacuation | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release