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JYF-18097-31274

2 vaccinations 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
034 / NH
Registered
2021-01-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-30
    Dose 2 — Moderna
  3. 2021-01-31
    Registered in v-safe
  4. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Syncope — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Fainting, difficulty breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-07-31
    Survey response — 6 months, dose 2
    MedDRA: Biochemical pregnancy, Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Irregular periods · Healthcare visit (other): Chemical pregnancy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-07-31
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-08-03

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-30Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-31 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Fainting, difficulty breathing

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Irregular periods
Healthcare visit (other): Chemical pregnancy

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
HCVOBiochemical pregnancy ✓ · ✓
SDMenstruation irregular ✓ · ✓
SRODyspnoea ✓ ✓ ✓
SROSyncope ✓ ✓ ✓

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