LXR-27545-86269
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 923 / CA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Fair · Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-12
Survey response — day 7, dose 2MedDRA: Infusion, Muscle contractions involuntary — Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): In retrospect, had extra contractions from day 2 to day 4 post vaccine; now improved · Healthcare visit (other): When I went for iron infusion, they did nst and found increased contractions and monitored me an extra hour for cervical dilation but I was fine and sent home (this applied to post vaccine day #2)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-05-08
Survey response — 3 months, dose 2MedDRA: Retained placenta or membranes, Surgery, Uterine dilation and curettage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: After delivery I was found to have retained placental piece at the 6 wk post partum check and had D&C · Healthcare visit (other): Outpt surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-06
-
2021-12-14
Dose 3 — Moderna
- 2022-02-05
- 2022-03-17
- 2022-06-14
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-12 | Successful 2021-05-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-05-08 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Night sweats
Release 4 — day 7, dose 2
Systemic reaction (other): In retrospect, had extra contractions from day 2 to day 4 post vaccine; now improved
Healthcare visit (other): When I went for iron infusion, they did nst and found increased contractions and monitored me an extra hour for cervical dilation but I was fine and sent home (this applied to post vaccine day #2)
Release 8 — 3 months, dose 2
Symptoms: After delivery I was found to have retained placental piece at the 6 wk post partum check and had D&C
Healthcare visit (other): Outpt surgery
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 | Infusion | ✓ | ✓ | ✓ |
| HCVO | Muscle contractions involuntary | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | ✓ | ✓ |
| SD | Retained placenta or membranes | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | ✓ | ✓ | ✓ |
| SRO | Muscle contractions involuntary | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release