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KBV-14143-79455

2 vaccinations 2 coded responses 14 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
223 / VA
Registered
2021-01-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-10
    Registered in v-safe
  3. 2021-01-10
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema — Feeling: Fair
    Free text: Redness at injection site came back around day 8-14
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-30
    Dose 2 — Moderna
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Redness, Swelling, Itching · Headache · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains
    Adult check-in
  11. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  12. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-02-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-31
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Miscarriage · Healthcare visit (other): D and c
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 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)
  18. 2021-08-03
  19. 2021-08-03
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2022-01-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-31 Successful
2021-08-03
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Redness at injection site came back around day 8-14

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Miscarriage
Healthcare visit (other): D and c

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
HCVOUterine dilation and curettage ✓ · ✓
SDAbortion spontaneous ✓ · ✓
SDInjection site erythema ✓ ✓ ✓

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