FSR-26143-93304
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
-
2021-03-23
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good · Site: PainFree text: Today I got my first shot, and the fingers in my hand on the same arm I got my shot were tingly for the first half hour. Since then, it has gone away and I feel normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: FairFree text: Congestion, aches, cough when walkingMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had - Miscarriage in Sept - Covid in Oct - Got pregnant in Nov · Healthcare visit (other): OBGYN appointments with pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Today I got my first shot, and the fingers in my hand on the same arm I got my shot were tingly for the first half hour. Since then, it has gone away and I feel normal.
Release 9 — 3 months, dose 2
Symptoms: Cough
Release 10 — 6 months, dose 2
Symptoms: Congestion, aches, cough when walking
Release 11 — 12 months, dose 2
Symptoms: I had - Miscarriage in Sept - Covid in Oct - Got pregnant in Nov
Healthcare visit (other): OBGYN appointments with pregnancy
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 | Office visit | · | · | ✓ |
| HCVO | Pregnancy | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release