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PLG-28392-05168

2 vaccinations 2 coded responses 15 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
404 / KY
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-10
    Dose 2 — Moderna
  12. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  13. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-04-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-23
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain upper, Diarrhoea, Gastroenteritis viral, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Stomach virus symptoms - diarrhea, nausea, vomiting, stomach cramping. Was tested for COVID - negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-23
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Ectopic pregnancy, Emergency care — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Ectopic pregnancy · Healthcare visit (other): Emergency surgery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-09
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-06-11
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-23 Successful Participant prefers to complete VAERS report online
2021-06-09 Successful
2021-06-11
Participant prefers to complete VAERS report online

Free text

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Stomach virus symptoms - diarrhea, nausea, vomiting, stomach cramping. Was tested for COVID - negative.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Ectopic pregnancy
Healthcare visit (other): Emergency surgery

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
HCVOEmergency care ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDEctopic pregnancy ✓ ✓ ✓
SDGastroenteritis viral ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDVomiting ✓ ✓ ✓

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