QWA-97127-66908
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 554 / MN
- Registered
- 2021-12-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-05-06
Dose 2 — Moderna
-
2021-12-07
Registered in v-safe
-
2021-12-07
Dose 3 — Pfizer-BioNTech
- 2021-12-07
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-12-09
- 2021-12-10
- 2021-12-12
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Survey response — day 7, dose 3MedDRA: Pregnancy — Feeling: Good · NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
-
2022-01-04
Survey response — day 28, dose 3MedDRA: Ear discomfort, Oropharyngeal pain, Pyrexia, Viral infection — Feeling: Fair · 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 visitFree text: Viral infection, sore throat, mild fever, ear poppingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-05
- 2022-01-13
- 2022-01-18
-
2022-03-08
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous, Mass, Tonsillar hypertrophy, Unevaluable event — Feeling: GoodFree text: Large tonsils with hiles and lumps, miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-06-07
Survey response — 6 months, dose 3MedDRA: Body temperature increased, Headache, Nasal congestion — Feeling: GoodFree text: Low fever (100.1), nasal congestion, headachesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | No |
| 2 | 2021-05-06 | Moderna | No |
| 3 | 2021-12-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-04 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnant
Release 10 — day 7, dose 3
Systemic reaction (other): Pregnancy
Release 10 — day 28, dose 3
Symptoms: Viral infection, sore throat, mild fever, ear popping
Release 11 — 3 months, dose 3
Symptoms: Large tonsils with hiles and lumps, miscarriage
Release 11 — 6 months, dose 3
Symptoms: Low fever (100.1), nasal congestion, headaches
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 | Body temperature increased | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tonsillar hypertrophy | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release