HYB-10719-68483
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 240 / VA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-07
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-21
Survey response — 14 day, dose 1MedDRA: Injection site rash — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-25
-
2021-02-01
Survey response — 28 day, dose 1MedDRA: Abortion spontaneous, Medical observation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-01
Report sent to call center — 28 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-08
Survey response — 35 day, dose 1MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-08
Report sent to call center — 35 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-09
Dose 2 — Moderna
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Survey response — 7 day, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Site: Pain, Redness, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-16
Report sent to call center — 7 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
- 2021-03-04
-
2021-03-05
Call successfulParticipant prefers to complete VAERS report online
- 2021-03-12
- 2021-03-18
- 2021-03-23
- 2021-08-10
-
2022-02-09
Survey response — 12 month, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-02-09
Report sent to call center — 12 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-01 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-08 | Successful | Participant prefers to complete VAERS report online |
| 2021-02-16 | Successful 2021-03-05 |
Participant prefers to complete VAERS report online |
| 2022-02-09 | Successful 2022-02-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2
Symptoms: Rash at injection site after exercise
Release 3
Symptoms: It's possible that I have miscarried. Will confirm on 2/8
Healthcare visit (other): Routine first ultrasound finding
Symptoms: Silent miscarriage
Release 4
Systemic reaction (other): I had a miscarriage shortly after receiving my first dose
Release 11
Symptoms: Contracted COVID
Free-text releases are not linked to a specific 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 | Medical observation | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release