KQR-43967-50612
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 758 / TX
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Fatigue on day of and day after after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-16
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
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 · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-02
- 2021-02-04
- 2021-02-11
- 2021-02-20
- 2021-02-27
- 2021-03-11
- 2021-04-30
- 2021-07-29
-
2022-01-07
Dose 3 — Moderna
- 2022-01-30
- 2022-01-30
- 2022-02-05
-
2022-02-11
Survey response — day 35, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Survey response — day 42, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnancy lossMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
- 2022-07-10
- 2023-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2022-01-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-09 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue on day of and day after after injection
Release 11 — day 35, dose 3
Symptoms: Positive pregnancy test
Release 11 — day 42, dose 3
Symptoms: Pregnancy
Release 11 — 3 months, dose 3
Symptoms: Pregnancy loss
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 | Abortion spontaneous | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release