H2P-26373-06293
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 461 / IN
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-22
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-03
- 2021-06-10
- 2021-06-15
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: Ive had a cold but not Covid.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-02
-
2021-12-08
Dose 3 — Moderna
-
2022-06-08
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous, Pregnancy, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Not Covid related but I was pregnant but sadly lost baby at 8 weeks. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-06-08
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-06-09
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-08 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Ive had a cold but not Covid.
Release 11 — 6 months, dose 3
Symptoms: Not Covid related but I was pregnant but sadly lost baby at 8 weeks.
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release