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HNZ-30852-27985

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
921 / CA
Registered
2021-04-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Dose 1 — Moderna
  2. 2021-04-25
    Registered in v-safe
  3. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  4. 2021-05-09
    Survey response — day 14, dose 1
    MedDRA: Abortion spontaneous, Headache, Nasal congestion, Oropharyngeal pain, Viral infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I think I got a virus from my son that gave me a sore throat and stuffed nose and headache. Also, I had a miscarriage since the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-09
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-21
    Dose 2 — Moderna
  8. 2021-05-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-06-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-25
    Survey response — day 35, dose 2
    MedDRA: Oesophageal spasm — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have had esophageal spasms before and I got one today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-05
    Survey response — day 42, dose 2
    MedDRA: Oesophageal spasm — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Esophageal spasms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-08-20
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Esophageal spasms - but I had those before the vaccine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-20
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-08-27
  18. 2021-11-19
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2022-05-23
    Survey response — 12 months, dose 2
    MedDRA: Diarrhoea, Gastrointestinal disorder, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Vomiting, stomach issues, diarrhea
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-09 Unsuccessful
2021-08-20 Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-05-09

Symptoms: I think I got a virus from my son that gave me a sore throat and stuffed nose and headache. Also, I had a miscarriage since the vaccine.

Release 9 — day 35, dose 2

2021-06-25

Symptoms: I have had esophageal spasms before and I got one today.

Release 9 — day 42, dose 2

2021-07-05

Symptoms: Esophageal spasms

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Esophageal spasms - but I had those before the vaccine

Release 11 — 12 months, dose 2

2022-05-23

Symptoms: Vomiting, stomach issues, diarrhea

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ ✓ ✓
SDDiarrhoea · · ✓
SDGastrointestinal disorder · · ✓
SDHeadache ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOesophageal spasm ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDViral infection ✓ ✓ ✓
SDVomiting · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release