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JHA-14962-91726

5 vaccinations 2 coded responses 28 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
265 / WV
Registered
2020-12-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
6C5-20818-28917 Child or adolescent in my care · Male · 2021-11-07

Timeline

  1. 2020-12-15
    Registered in v-safe
  2. 2020-12-15
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2020-12-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2020-12-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-06
    Dose 2 — Pfizer-BioNTech
  14. 2021-01-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-01-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-03
    Survey response — day 28, dose 2
    MedDRA: Menstrual disorder — Feeling: Good
    Free text: My menstrual cycle has been off since my second dose. I had mid cycle bleeding which is abnormal for me and then my period was late then longer than normal with a lighter flow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-24
    Dose 3 — Moderna
  27. 2022-01-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-03-02
    Dose 4 — Moderna
  29. 2022-04-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-06-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-08-31
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Impaired work ability, Malaise — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with COVID-19 eight days ago and took time off work to recover from symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-08-31
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  33. 2022-09-01
  34. 2022-09-01
    Call successful
    Participant prefers to complete VAERS report online
  35. 2022-11-15
    Dose 5 — Moderna
  36. 2023-03-02
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2023-05-16
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-15Pfizer-BioNTech
22021-01-06Pfizer-BioNTech
32021-08-24Moderna No
42022-03-02Moderna No
52022-11-15Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 28, dose 2

2021-02-03

Symptoms: My menstrual cycle has been off since my second dose. I had mid cycle bleeding which is abnormal for me and then my period was late then longer than normal with a lighter flow.

Release 12 — 6 months, dose 4

2022-08-31

Symptoms: Diagnosed with COVID-19 eight days ago and took time off work to recover from 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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDImpaired work ability · · ✓
SDMalaise · · ✓
SDMenstrual disorder ✓ ✓ ✓

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

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