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R65-50460-26258

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
064 / CT
Registered
2021-01-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  5. 2021-01-14
    Survey response — 14 day, dose 1
    MedDRA: Ectopic pregnancy — Feeling: Fair · Be unable to work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-01-14
    Report sent to call center — 14 day, dose 1
    Be unable to work
    1 call case(s)
  7. 2021-01-20
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-27
    Dose 2 — Moderna
  9. 2021-01-27
    Health check-in — 0 day, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-03
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-10
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-17
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-27
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-04
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-28
    Health check-in — 6 month, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 priority 2/3

Free text

Release 1

Systemic reaction (other): Decrease appetite

Release 2

Symptoms: Unknowingly had ectopic pregnancy about 7 weeks along (about 5 weeks at time of vaccine).

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

FieldPreferred term2021-092023-042024-11
SDEctopic pregnancy ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓

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

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