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HYW-13290-93762

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
900 / CA
Registered
2021-01-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Tender axillary lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-27
    Dose 2 — Moderna
  7. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Chills, Fatigue, Pyrexia — Feeling: Good · Be unable to work
    Free text: Chills, joint pain, fatigue, and fever the day after second vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Hyperemesis gravidarum — 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 · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Hyperemesis Gravidarum and Miscarriage due to Trisomy 13
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-27
    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 · Hospitalization · 1 call case(s)
  17. 2022-01-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-27Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-01-27 Unsuccessful

Free text

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Tender axillary lymph nodes

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Chills, joint pain, fatigue, and fever the day after second vaccination

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Hyperemesis Gravidarum and Miscarriage due to Trisomy 13

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 · · ✓
SDHyperemesis gravidarum · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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