P9S-42284-78306
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Registered in v-safe
-
2021-04-17
Dose 1 — Moderna
- 2021-04-17
-
2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-05-01
Survey response — day 14, dose 1MedDRA: Fatigue, Menstruation irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue; irregular period and very bad crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-15
Dose 2 — Moderna
-
2021-05-15
Survey response — day 0, dose 2MedDRA: Palpitations — Feeling: Good · Site: PainFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-18
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension, Flatulence — Feeling: GoodFree text: Bloating and gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
-
2021-06-26
Survey response — day 42, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-30
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-14
Survey response — 3 months, dose 2MedDRA: Cheilitis, Office visit — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have a rash on my upper lip that started after I got my first vaccine and it wont go away. Dermatologists dont know what it is or what to treat it with.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-13
- 2022-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Heart palpitations
Release 8 — day 14, dose 1
Symptoms: Fatigue; irregular period and very bad cramps
Release 8 — day 0, dose 2
Systemic reaction (other): Heart palpitations
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Bloating and gas
Release 9 — day 42, dose 2
Symptoms: Heart palpitations
Release 9 — 3 months, dose 2
Symptoms: I have a rash on my upper lip that started after I got my first vaccine and it wont go away. Dermatologists dont know what it is or what to treat it with.
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 |
|---|---|---|---|---|
| SD | Cheilitis | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release