PER-53472-29156
3 vaccinations
2 coded responses
23 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 173 / PA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Health check-in — 0 day, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-04
- 2021-01-07
- 2021-01-12
- 2021-01-19
-
2021-01-22
Dose 2 — Moderna
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-13
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-07-23
Survey response — 6 month, dose 2MedDRA: Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-07-23
Report sent to call center — 6 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-29
-
2021-08-13
Call successfulParticipant prefers to complete VAERS report online
-
2022-01-05
Dose 3 — Moderna
-
2022-01-17
Survey response — 7 day, dose 3MedDRA: Gingival recession, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-01-17
Report sent to call center — 7 day, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-22 | Moderna | |
| 3 | 2022-01-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-30 | priority 2/3 | |
| 2021-07-23 | Successful 2021-08-13 |
Participant prefers to complete VAERS report online |
| 2022-01-17 | Unsuccessful |
Free text
Release 9
Symptoms: C-ANCA antibodies Non alcoholic fatty liver diseaseMiscarriage
Release 10
Systemic reaction (other): Receding gums started on 1/13. I'm in my 20s and never had gum issues before.
Healthcare visit (other): Called dentist and spoke over the phone about my receding gums. Have an appointment scheduled next week.
Free-text releases are not linked to a specific 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 | Gingival recession | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Gingival recession | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release