R9V-11328-89445
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 960 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2021-01-19
- 2021-01-21
- 2021-02-03
- 2021-02-10
-
2021-02-11
Dose 2 — Moderna
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness, Impaired work ability, Migraine, Movement disorder, Nausea, Pallor, Vomiting — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: All of the symptoms were for 02-12. The day after the shot, I lost all color in my face. Was extremely nauseous, vomiting, and had a migraine. I was also very dizzy and felt like I couldn't move. I went home early that day and almost collapsed when I finally got home.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Vaginal haemorrhage — Feeling: Good · 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 visit, Emergency room or emergency department visitFree text: Miscarriage 03-17-21. Major bleeding from then until 06-20-21MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 | |
| 2021-01-16 | priority 2/3 | |
| 2021-08-12 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): All of the symptoms were for 02-12. The day after the shot, I lost all color in my face. Was extremely nauseous, vomiting, and had a migraine. I was also very dizzy and felt like I couldn't move. I went home early that day and almost collapsed when I finally got home.
Release 9 — 6 months, dose 2
Symptoms: Miscarriage 03-17-21. Major bleeding from then until 06-20-21
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 | Vaginal haemorrhage | ✓ | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release