RCJ-16716-44636
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 931 / CA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-12
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-04-12
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-29
Dose 2 — Moderna
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-05-05
- 2021-06-12
-
2021-10-11
Dose 3 — Moderna
-
2021-10-29
Survey response — day 14, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Side effects from third dose: headache fever achesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
-
2021-11-15
Survey response — day 35, dose 3MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-17
-
2021-11-17
Callback requested for02:21PM ET
-
2022-01-10
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Miscarriage about 3 weeks after boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-12 | Unsuccessful | |
| 2021-11-15 | Unsuccessful | |
| 2022-01-10 | Unsuccessful |
Free text
Release 10 — day 14, dose 3
Symptoms: Side effects from third dose: headache fever aches
Release 10 — day 35, dose 3
Symptoms: Miscarriage
Release 10 — 3 months, dose 3
Symptoms: Miscarriage about 3 weeks after booster
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 | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release