FJ7-28176-16160
4 vaccinations
2 coded responses
36 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 009 / PR
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 2 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-08
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-12-18
Dose 3 — Moderna
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-25
- 2022-01-01
- 2022-01-10
-
2022-01-15
Survey response — day 28, dose 3MedDRA: Gastrointestinal disorder, Vomiting — Feeling: FairFree text: Vomiting and just stomach symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-22
- 2022-01-30
- 2022-03-21
- 2022-06-18
- 2022-12-19
-
2023-03-31
Dose 4 — Pfizer-BioNTech
- 2023-03-31
-
2023-04-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2023-04-03
- 2023-04-04
- 2023-04-05
- 2023-04-06
- 2023-04-07
- 2023-04-14
-
2023-04-21
Survey response — day 21, dose 4MedDRA: Abortion spontaneous — Feeling: Poor · 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 visitMedDRA releases: 2024-11
-
2023-04-21
Report sent to call center — day 21, dose 4Be 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)
-
2023-04-25
Call successfulParticipant prefers to complete VAERS report online
- 2023-04-28
- 2023-05-05
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
| 4 | 2023-03-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-21 | Successful 2023-04-25 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — day 28, dose 3
Symptoms: Vomiting and just stomach symptoms
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release