MWF-29756-33778
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
-
2021-03-18
Survey response — day 0, dose 1MedDRA: Dizziness, Immediate post-injection reaction, Medical observation, Palpitations — Feeling: Poor · Site: Pain · Fever · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Feeling like heart was racing and light headed within 5-10 mins of the shot · Healthcare visit (other): Nurse at the vaccine locationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-20
Dose 2 — Moderna
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-05
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: COVID 19MedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-23
-
2022-01-19
Dose 3 — Moderna
-
2022-01-19
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-01-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-01-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-22
- 2022-01-23
- 2022-01-24
- 2022-01-25
- 2022-01-26
- 2022-02-02
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2022-02-09
Survey response — day 21, dose 3MedDRA: Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat and nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Survey response — day 28, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-02-23
- 2022-03-02
-
2022-04-22
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, 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: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2022-01-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2021-07-20 | Unsuccessful | |
| 2022-04-22 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Feeling like heart was racing and light headed within 5-10 mins of the shot
Healthcare visit (other): Nurse at the vaccine location
Release 9 — 3 months, dose 2
Symptoms: COVID 19
Release 11 — day 21, dose 3
Symptoms: Sore throat and nausea
Release 11 — day 28, dose 3
Symptoms: Pregnancy
Release 11 — 3 months, dose 3
Symptoms: Miscarriage
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 observation | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release