J3N-78126-79803
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
-
2021-04-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 28, dose 2MedDRA: Diarrhoea, Sinus disorder — Feeling: FairFree text: About 4 days of diarrhea and sinus problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: Im pregnantMedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Gastrointestinal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased intestinal painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-22
- 2022-04-28
-
2022-05-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 28, dose 2
Symptoms: About 4 days of diarrhea and sinus problems
Release 9 — 3 months, dose 2
Symptoms: Im pregnant
Release 11 — 12 months, dose 2
Symptoms: Increased intestinal pain
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release