QNZ-14409-37088
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
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2020-12-24
Survey response — day 0, dose 1MedDRA: Mobility decreased, Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body achesFree text: entire upper arm is sore and hard to lift objectsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-26
- 2020-12-27
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain — Feeling: Fair · Headache · Be unable to workFree text: unilateral eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
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2021-01-03
Survey response — day 7, dose 1MedDRA: Eye pain — Feeling: Good · Site: PainFree text: left eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
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2021-01-22
Dose 2 — Moderna
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2021-02-04
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-07
Survey response — day 14, dose 2MedDRA: Eye pain, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: left eye pain and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 42, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-30 | Unsuccessful | |
| 2021-03-06 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): entire upper arm is sore and hard to lift objects
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): unilateral eye pain
Release 1 — day 7, dose 1
Systemic reaction (other): left eye pain
Release 3 — day 14, dose 2
Symptoms: left eye pain and headache
Release 5 — day 42, 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 | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release