MW6-12414-30390
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 731 / OK
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Medical counselling, Throat irritation — Feeling: Good · Site: Pain · Fever · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Throat irritation. · Healthcare visit (other): Physician at vaccine helped me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: GoodFree text: Anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Disorientation, Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Dizziness and disorientationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-06
- 2021-01-12
- 2021-01-17
- 2021-01-19
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2021-06-29
Survey response — 6 months, dose 1MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage, April 2021. · Healthcare visit (other): Visit with PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | Unsuccessful | |
| 2020-12-30 | Unsuccessful | |
| 2021-01-04 | Unsuccessful | |
| 2021-06-29 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Throat irritation.
Healthcare visit (other): Physician at vaccine helped me.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Anxiety.
Systemic reaction (other): Dizziness and disorientation
Release 9 — 6 months, dose 1
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ○ | ○ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release