PE6-11730-29729
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 232 / VA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
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2021-04-08
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, DiarrheaAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Fair · Fatigue or tirednessFree text: IrritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Feeling abnormal, Irritability — Feeling: Fair · Headache, Fatigue or tirednessFree text: Anxiety, fog brain, irritableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Health check-in — day 7, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-04-22
- 2021-04-29
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2021-05-06
Dose 2 — Moderna
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2021-05-06
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Fever · Fatigue or tirednessAdult check-in
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Nightmare — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: NightmaresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Nightmare — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: NightmaresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-23
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-07
- 2021-11-04
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2022-05-08
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — 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: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-05-08
Report sent to call center — 12 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)
- 2022-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-08 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Irritability
Systemic reaction (other): Anxiety, fog brain, irritable
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Nightmares
Systemic reaction (other): Nightmares
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release