HK3-74962-18511
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: My fatigue and headache could also be related to my menstrual cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still menstratingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have shingles and a headache. I have had Shingles before. I think it just exacerbated my immune system.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-14
- 2021-02-21
-
2021-02-23
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Survey response — day 28, dose 2MedDRA: Joint swelling, Office visit, Pain in extremity, Tendon disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Swelling in ankles and pain in feet. Sheath around the tendons are endless according to the orthopedic doctor. I am being sent to a rheumatologist. · Healthcare visit (other): OrthopedistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
- 2021-04-06
- 2021-07-16
- 2021-07-16
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2021-08-24
Survey response — 6 months, dose 2MedDRA: Autoinflammatory disease, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been diagnosed with auto-inflammatory Disease · Healthcare visit (other): In person rheumatologyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-30
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2022-02-23
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: FairFree text: Failed implantation with sptonaneous abortion.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-07 | Unsuccessful | |
| 2021-03-23 | Unsuccessful | |
| 2021-08-24 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My fatigue and headache could also be related to my menstrual cycle.
Systemic reaction (other): Still menstrating
Release 3 — day 14, dose 1
Symptoms: I have shingles and a headache. I have had Shingles before. I think it just exacerbated my immune system.
Release 6 — day 28, dose 2
Symptoms: Swelling in ankles and pain in feet. Sheath around the tendons are endless according to the orthopedic doctor. I am being sent to a rheumatologist.
Healthcare visit (other): Orthopedist
Release 9 — 6 months, dose 2
Symptoms: I have been diagnosed with auto-inflammatory Disease
Healthcare visit (other): In person rheumatology
Release 11 — 12 months, dose 2
Symptoms: Failed implantation with sptonaneous abortion.
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 | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Autoinflammatory disease | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tendon disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release