GS3-71847-36652
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-18
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Worsen headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-20
Survey response — day 14, dose 2MedDRA: Mood altered — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Strong Mood changesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2022-02-26
-
2022-04-06
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Dizziness, Haematological infection, Headache — Feeling: Good · Be unable to work or attend schoolFree text: Dizziness, headaches, miscarriages, blood infectionsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: Worsen headaches
Release 7 — day 14, dose 2
Symptoms: Strong Mood changes
Release 11 — 12 months, dose 2
Symptoms: Dizziness, headaches, miscarriages, blood infections
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 | Dizziness | · | · | ✓ |
| SD | Haematological infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mood altered | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release