NRH-13299-20587
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 675 / KS
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Joint painsAdult check-in
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
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2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: My injection site healed and then it came back like a day later. Was red, swollen, warm and itchy again. But only lasted a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
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2021-02-05
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-27
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Was 12 weeks 5 days pregnant and lost the baby. Not sure of the reasoning but thought I would add it to this. · Healthcare visit (other): D&C procedureMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
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2022-02-05
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: I had covidMedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Dose 3 — Moderna
- 2022-04-27
- 2022-05-03
- 2022-06-23
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-03-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-06 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: My injection site healed and then it came back like a day later. Was red, swollen, warm and itchy again. But only lasted a few days.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Release 4 — day 7, dose 2
Systemic reaction (other): Cough
Release 9 — 6 months, dose 2
Symptoms: Was 12 weeks 5 days pregnant and lost the baby. Not sure of the reasoning but thought I would add it to this.
Healthcare visit (other): D&C procedure
Release 11 — 12 months, dose 2
Symptoms: I had covid
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 | Uterine dilation and curettage | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release