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KH9-15627-02301

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
605 / IL
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-03-09
    Dose 2 — Moderna
  3. 2021-03-10
    Registered in v-safe
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Labor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-12
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Call successful
    Participant prefers to complete VAERS report online
  11. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Healthcare visit (other): Labor

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
HCVOUnevaluable event ✓ ✓ ✓

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