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MQ9-26899-89692

3 vaccinations 3 coded responses 22 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
210 / MD
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
4KE-33685-71686 Child or adolescent in my care · Female · 2022-06-26
2N5-23643-31391 Child or adolescent in my care · Female · 2022-06-28

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-24
    Dose 2 — Moderna
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-07-24
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-09-24
    Dose 3 — Moderna
  13. 2021-09-24
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness
    Adult check-in
  14. 2021-09-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Swollen lymph at armpit
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain
    Free text: Lymph/armpit pain
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  17. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  19. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-10-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-10-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-10-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-03-25
    Survey response — 6 months, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I was briefly pregnant and had a miscarriage at 5.5 weeks
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-25
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2022-03-28

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-01-24Moderna No
32021-09-24Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-25 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-09-25

Systemic reaction (other): Swollen lymph at armpit

2021-09-26

Systemic reaction (other): Lymph/armpit pain

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: I was briefly pregnant and had a miscarriage at 5.5 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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SROAxillary pain · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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

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