JAY-31594-12595
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-02
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-06
- 2021-03-07
- 2021-03-09
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2021-03-18
Survey response — day 14, dose 1MedDRA: Injection site rash, Self-medication — Feeling: GoodFree text: Rash at injection site that lasted about 2 days and then went away after I took allergy medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-30
Survey response — day 28, dose 1MedDRA: Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny noseHeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-04-08
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2021-04-17
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 21, dose 2MedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-07
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Benign hydatidiform mole, Uterine haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Experienced a molar pregnancy and uterine bleedingMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Unsuccessful |
Free text
Release 5 — day 14, dose 1
Symptoms: Rash at injection site that lasted about 2 days and then went away after I took allergy meds
Release 6 — day 28, dose 1
Symptoms: Runny noseHeadache
Release 7 — day 14, dose 2
Symptoms: Sore throat
Release 7 — day 21, dose 2
Symptoms: Congestion
Release 11 — 12 months, dose 2
Symptoms: Experienced a molar pregnancy and uterine bleeding
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 | Benign hydatidiform mole | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Uterine haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release