HJ3-21899-28071
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 320 / FL
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-25
- 2021-03-06
- 2021-03-13
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache · Be unable to workAdult check-in
- 2021-03-20
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-10
- 2021-04-18
- 2021-05-01
- 2021-06-18
-
2021-09-16
Survey response — 6 months, dose 2MedDRA: Dry skin — Feeling: GoodFree text: A dry spot on my chinMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
- 2021-11-02
- 2021-11-04
- 2021-11-08
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-12
Survey response — day 42, dose 3MedDRA: Abdominal pain lower — Feeling: PoorFree text: Lots of lower stomach painMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous, COVID-19 — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I got coronavirus On the 22 of January 2022 I was nine weeks pregnant at the time and miscarried two days laterMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-31
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Dizziness, Fatigue — Feeling: FairFree text: Dizzy and tiredMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-28 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: A dry spot on my chin
Release 10 — day 42, dose 3
Symptoms: Lots of lower stomach pain
Release 11 — 3 months, dose 3
Symptoms: I got coronavirus On the 22 of January 2022 I was nine weeks pregnant at the time and miscarried two days later
Release 11 — 6 months, dose 3
Symptoms: Dizzy and tired
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 | Abdominal pain lower | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release