P33-13181-71673
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
-
2021-04-10
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
-
2021-07-10
Survey response — 3 months, dose 2MedDRA: Heavy menstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Frequent heavy irregular bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
-
2021-10-09
Survey response — 6 months, dose 2MedDRA: Menstruation irregular, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Irregular menstrual bleeding Full body rash sparing face and upper chest.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-12
-
2021-11-18
Dose 3 — Moderna
-
2022-04-10
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Decreased appetite, Diarrhoea, Dizziness, Headache, Hypotension, Laryngitis, Malaise, Medical counselling, Nausea, Oropharyngeal pain, Oxygen saturation decreased, Vomiting — 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 · HospitalizationFree text: Symptoms: COVID- sore throat, laryngitis, cough, headache, malaise, nausea, vomiting, diarrhea, low SPO2 (88-90), low blood pressure, complete loss of appetite, dizziness · Healthcare visit (other): Was in a PTSD Residential Treatment Facility at the Veterans Affairs in (b)(6)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Report sent to call center — 12 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 prHospitalization · 1 call case(s)
-
2022-04-13
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-21
Survey response — 6 months, dose 3MedDRA: Mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: New lump behind earMedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
- 2022-05-23
- 2022-05-23
- 2022-05-23
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Frequent heavy irregular bleeding
Release 10 — 6 months, dose 2
Symptoms: Irregular menstrual bleeding Full body rash sparing face and upper chest.
Release 11 — 12 months, dose 2
Symptoms: COVID- sore throat, laryngitis, cough, headache, malaise, nausea, vomiting, diarrhea, low SPO2 (88-90), low blood pressure, complete loss of appetite, dizziness
Healthcare visit (other): Was in a PTSD Residential Treatment Facility at the Veterans Affairs in (b)(6)
redacted (b)(6)
Release 11 — 6 months, dose 3
Symptoms: New lump behind ear
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 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release