JJR-33017-67266
4 vaccinations
3 coded responses
38 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 033 / NH
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-24
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Abdominal painAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-22
Dose 2 — Moderna
- 2021-05-22
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-07-03
- 2021-08-21
-
2021-11-20
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Mild congestion and sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
-
2022-10-24
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-25
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-25
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · None · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-10-25
Report sent to call center — day 0, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-26
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
-
2022-11-15
Survey response — day 21, dose 4MedDRA: Dyspepsia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Functional dyspepsiaMedDRA releases: 2024-11 · check-in free text available
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2023-01-24
-
2023-04-25
Survey response — 6 months, dose 4MedDRA: Abortion spontaneous, Urticaria, Uterine dilation and curettage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-25
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2023-04-26
Call successfulCompleted over the phone
-
2023-04-26
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Moderna | |
| 2 | 2021-05-22 | Moderna | |
| 3 | 2022-10-24 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-25 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-25 | Successful 2023-04-26 |
Completed over the phone |
| 2023-04-25 | Successful 2023-04-26 |
Completed over the phone |
Free text
Release 10 — 6 months, dose 2
Symptoms: Mild congestion and sore throat.
Release 12 — day 21, dose 4
Symptoms: Functional dyspepsia
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 |
|---|---|---|---|---|
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release