RAW-96056-20128
2 vaccinations
1 coded response
20 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 815 / CO
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-26
- 2021-08-23
-
2022-02-22
Survey response — 12 months, dose 2MedDRA: Foetal death, Stillbirth — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Fetal Demise at 36 weeks causing stillbirth.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-02-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-22 | Successful 2022-02-25 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 11 — 12 months, dose 2
Symptoms: Fetal Demise at 36 weeks causing stillbirth.
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 | Foetal death | · | · | ✓ |
| SD | Stillbirth | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release