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L8C-24877-31142

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
064 / CT
Registered
2021-01-04
Relationship
Self

Timeline

  1. 2021-01-03
    Dose 1 — Moderna
  2. 2021-01-04
    Registered in v-safe
  3. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain
    Adult check-in
  4. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pruritus — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Free text: Itchy ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-24
    Survey response — day 21, dose 1
    MedDRA: Chest pain, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Chest Pain- squeezing/tightness. Went to ER on 1/23 but all test results came back good. No complications today so far · Healthcare visit (other): I went to ER only because I had never experienced chest pain before. But they said everything is fine and no need to be concerned after they did the tests.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-24
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-31
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-10
    Dose 2 — Moderna
  14. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Pregnancy — Feeling: Good · Abdominal pain
    Free text: PCOS, Pregnant 5 weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Vaginal bleeding - I am 6 weeks and 5 days pregnant- this is my first pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Vaginal haemorrhage — Feeling: Poor · Headache, Abdominal pain · Be unable to do your normal daily activities
    Free text: Moderate Vaginal Bleeding- possible miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-24
    Survey response — day 14, dose 2
    MedDRA: Abortion spontaneous, Emergency care — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Pregnancy Loss/ Miscarriage, ended up in emergency room twice · Healthcare visit (other): Emergency Room and gynecologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-24
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-13

Vaccinations

DoseDateManufacturerCo-administered
12021-01-03Moderna
22021-02-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-24 Unsuccessful
2021-02-24 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Itchy ears

Release 2 — day 21, dose 1

2021-01-24

Symptoms: Chest Pain- squeezing/tightness. Went to ER on 1/23 but all test results came back good. No complications today so far
Healthcare visit (other): I went to ER only because I had never experienced chest pain before. But they said everything is fine and no need to be concerned after they did the tests.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): PCOS, Pregnant 5 weeks

2021-02-16

Systemic reaction (other): Vaginal bleeding - I am 6 weeks and 5 days pregnant- this is my first pregnancy

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Moderate Vaginal Bleeding- possible miscarriage

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Pregnancy Loss/ Miscarriage, ended up in emergency room twice
Healthcare visit (other): Emergency Room and gynecologist

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
HCVOChest pain ✓ ✓ ✓
HCVOEmergency care ✓ ✓ ✓
SDAbortion spontaneous ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SROEar pruritus ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROVaginal haemorrhage ✓ ✓ ✓

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