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HPP-17202-26738

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
395 / MS
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Dose 2 — Moderna
  4. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2022-02-03
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Surgery — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: I had a miscarriage · Healthcare visit (other): Surgery
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-03
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-02-04

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-03Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-02-03 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Congestion

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: I had a miscarriage
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

FieldPreferred term2021-092023-042024-11
HCVOSurgery · · ✓
SDAbortion spontaneous · · ✓
SRORespiratory tract congestion ✓ ✓ ✓

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