M3U-30083-26507
3 vaccinations
3 coded responses
37 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
-
2021-02-16
Dose 2 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-25
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Itchy rash - poison oak exposure suspectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-18
- 2021-08-17
-
2021-10-30
Dose 3 — ModernaCo-administered: Flu
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-30
- 2022-02-01
-
2022-04-30
Survey response — 6 months, dose 3MedDRA: Fatigue, Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a cold for 1 week, tested negative for COVID PCR and antigen (fatigue, sore throat, swollen lymph nodes)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I was pregnant and had an incomplete miscarraige at 12 weeks.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-30 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-30 | Unsuccessful |
Free text
Release 6 — day 42, dose 2
Symptoms: Itchy rash - poison oak exposure suspected
Release 11 — 6 months, dose 3
Symptoms: Had a cold for 1 week, tested negative for COVID PCR and antigen (fatigue, sore throat, swollen lymph nodes)
Release 12 — 12 months, dose 3
Symptoms: I was pregnant and had an incomplete miscarraige at 12 weeks.
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 | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release