K6H-52886-73922
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 029 / RI
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
-
2021-01-26
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Tension, Tension headache — Feeling: Good · Headache, Muscle or body achesFree text: I have frequent tension headaches and back tension at baselineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
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2021-03-09
Survey response — day 42, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-03-18
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2021-04-02
Call successfulParticipant prefers to complete VAERS report online
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2021-04-27
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Call successfulParticipant prefers to complete VAERS report online
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-26
Dose 3 — Moderna
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2022-09-20
Dose 4 — Moderna
- 2022-09-30
- 2022-10-06
- 2022-10-11
- 2022-10-20
- 2022-10-25
-
2022-12-20
Survey response — 3 months, dose 4MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Influenza AMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-09-26 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): I have frequent tension headaches and back tension at baseline
Release 5 — day 42, dose 2
Symptoms: Pregnant
Release 8 — 3 months, dose 2
Symptoms: Pregnancy
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 12 — 3 months, dose 4
Symptoms: Influenza A
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 | Influenza | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Tension | ✓ | ✓ | ✓ |
| SRO | Tension headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release