LGD-23652-68308
3 vaccinations
2 coded responses
41 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 479 / IN
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
564-18069-39223
Child or adolescent in my care · Female · 2021-11-03
H2P-23356-57014
Child or adolescent in my care · Female · 2021-11-03
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
- 2021-01-30
-
2021-01-31
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, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-14
- 2021-05-01
- 2021-07-31
-
2021-11-08
Dose 3 — Moderna
- 2021-11-08
- 2021-11-09
-
2021-11-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-15
Survey response — day 35, dose 3MedDRA: Rash, Rash pruritic, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: For the past 3 weeks I have had an intermittent itchy rash & hives over my entire body. It comes and goes.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-16
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-20
- 2022-02-07
- 2022-05-09
-
2022-11-10
Survey response — 12 months, dose 3MedDRA: Blood pressure abnormal, Delivery, Gestational hypertension, Premature delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I developed gestational hypertension a few days after my booster vaccine and delivered my baby at 36 weeks due to uncontrolled blood pressure. No idea if it is related. · Healthcare visit (other): DeliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 10 — day 35, dose 3
Symptoms: For the past 3 weeks I have had an intermittent itchy rash & hives over my entire body. It comes and goes.
Release 12 — 12 months, dose 3
Symptoms: I developed gestational hypertension a few days after my booster vaccine and delivered my baby at 36 weeks due to uncontrolled blood pressure. No idea if it is related.
Healthcare visit (other): Delivery
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 |
|---|---|---|---|---|
| HCVO | Delivery | · | · | ✓ |
| SD | Blood pressure abnormal | · | · | ✓ |
| SD | Gestational hypertension | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release