HR6-28164-20785
4 vaccinations
6 coded responses
22 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-21
Dose 2 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: left fingers hurt a lotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-30
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-12-01
Dose 3 — Moderna
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Ovarian cyst, Pelvic pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Miscarriage, ovarian cyst, pelvic painMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Survey response — 6 months, dose 3MedDRA: Adnexa uteri pain, Cyst removal, Ovarian cyst — 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 professional · Emergency room or emergency department visitFree text: Ovarian cyst pain and surgery to remove itMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-06-02
-
2022-09-12
Dose 4 — Moderna
- 2022-09-27
- 2022-10-03
-
2022-10-11
Survey response — day 28, dose 4MedDRA: Endometriosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diagnosed w endometriosisMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
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2022-10-26
Survey response — day 42, dose 4MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-15
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-01 | Successful 2022-10-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-26 | Successful 2022-10-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): left fingers hurt a lot
Release 11 — 12 months, dose 2
Symptoms: Miscarriage, ovarian cyst, pelvic pain
Release 11 — 6 months, dose 3
Symptoms: Ovarian cyst pain and surgery to remove it
Release 12 — day 28, dose 4
Symptoms: Diagnosed w endometriosis
Release 12 — day 42, dose 4
Symptoms: Cold symptoms
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 | Abortion spontaneous | · | · | ✓ |
| SD | Adnexa uteri pain | · | · | ✓ |
| SD | Cyst removal | · | · | ✓ |
| SD | Endometriosis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pelvic pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release