FD8-27796-85511
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 441 / OH
- Registered
- 2021-07-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-07-03
Dose 1 — Moderna
-
2021-07-07
Registered in v-safe
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2021-07-07
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — days 1–6 daily, dose 1MedDRA: Swelling face — Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to do your normal daily activitiesFree text: Swollen jawMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-15
Survey response — day 7, dose 1MedDRA: Swelling face — Feeling: FairFree text: Chin still swollenMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-19
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2021-07-31
Dose 2 — Moderna
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2021-07-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-08-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-08-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-08-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-08-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-07
Survey response — day 7, dose 2MedDRA: Pregnancy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: PregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-23
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2021-09-11
Survey response — day 42, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-03 | Moderna | No |
| 2 | 2021-07-31 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-11 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen jaw
Release 9 — day 7, dose 1
Systemic reaction (other): Chin still swollen
Release 9 — day 7, dose 2
Systemic reaction (other): Pregnant
Release 9 — day 42, dose 2
Symptoms: Miscarriage
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 | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release