LNY-22685-60553
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 328 / FL
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FJJ-13044-49136
Child or adolescent in my care · Female · 2021-11-12
VPS-27727-01787
Child or adolescent in my care · Female · 2021-11-12
Timeline
-
2021-05-14
Registered in v-safe
-
2021-05-14
Dose 1 — Moderna
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Abdominal painAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-05-23
-
2021-05-28
Survey response — day 14, dose 1MedDRA: Feeling hot, Pruritus, Rash, Rash erythematous, Rash papular — Feeling: FairFree text: Itchy, hot to touch, red large raised rash on arm and body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Survey response — day 21, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Miscarriaged at 9 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
-
2021-06-18
Survey response — day 35, dose 1MedDRA: Pain — Feeling: FairFree text: Body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-18
Dose 2 — Moderna
-
2021-11-12
Survey response — 6 months, dose 1MedDRA: Dyspnoea, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Muscle pain and difficulty breathing when doing simple thingsMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Moderna | |
| 2 | 2021-09-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-11-12 | Successful 2021-11-15 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — day 14, dose 1
Symptoms: Itchy, hot to touch, red large raised rash on arm and body.
Release 8 — day 21, dose 1
Symptoms: Miscarriaged at 9 weeks
Release 9 — day 35, dose 1
Symptoms: Body aches
Release 10 — 6 months, dose 1
Symptoms: Muscle pain and difficulty breathing when doing simple things
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 | Dyspnoea | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release