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PBT-29498-90154

3 vaccinations 2 coded responses 29 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
546 / WI
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Moderna
  3. 2021-02-02
    Survey response — day 0, dose 1
    MedDRA: Tinnitus — Feeling: Good · Headache
    Free text: Ringing in the ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Nausea
    Adult check-in
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Nausea
    Adult check-in
  16. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Itching · Nausea
    Adult check-in
  17. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · None
    Adult check-in
  18. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-16
    Survey response — day 14, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-16
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-03-20
  25. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-01
    Dose 3 — Moderna
  30. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school
    Adult check-in
  31. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  32. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  33. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-11-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-16 Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): Ringing in the ears

Release 5 — day 14, dose 2

2021-03-16

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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

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