JZE-14389-08359
4 vaccinations
3 coded responses
6 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2022-09-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-21
Dose 2 — Moderna
-
2021-11-19
Dose 3 — ModernaCo-administered: Flu
-
2022-09-11
Dose 4 — Pfizer-BioNTech
-
2022-09-12
Registered in v-safe
-
2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Currently 7 months pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-25
-
2022-10-04
Survey response — day 21, dose 4MedDRA: Injection site erythema, Paraesthesia, Pregnancy — Feeling: FairFree text: Please note I am also pregnant. - very low blood pressure 102/77 - redness still present at injection site - occasional pins and needles sensation when still for longer periodsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
-
2023-03-18
Survey response — 6 months, dose 4MedDRA: Blood iron decreased, Breast pain, Fatigue, Thyroid disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-18
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | No |
| 2 | 2021-04-21 | Moderna | No |
| 3 | 2021-11-19 | Moderna | Flu |
| 4 | 2022-09-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Currently 7 months pregnant
Release 12 — day 21, dose 4
Symptoms: Please note I am also pregnant. - very low blood pressure 102/77 - redness still present at injection site - occasional pins and needles sensation when still for longer periods
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 | Blood iron decreased | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release