R3Q-30520-70763
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 841 / UT
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 1 — Moderna
- 2021-04-11
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-04-17
-
2021-05-04
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Some intermittent dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Dose 2 — Moderna
- 2021-05-09
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · DiarrheaAdult check-in
-
2021-08-08
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Recently had a miscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-08
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-08 | Successful 2021-08-11 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — day 21, dose 1
Symptoms: Some intermittent dizziness
Release 9 — 3 months, dose 2
Symptoms: Recently had a 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 | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release