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N62-33833-20454

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
601 / IL
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  7. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-24
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Headache, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to work
    Free text: Head cold, congestion. Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-03
    Report sent to call center — day 21, dose 1
    Be unable to work
    1 call case(s)
  11. 2021-03-10
    Dose 2 — Moderna
  12. 2021-03-13
  13. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-24 Unsuccessful
2021-03-03 Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Miscarriage

Release 5 — day 21, dose 1

2021-03-03

Symptoms: Head cold, congestion. Headache

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 ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓

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