RF2-28651-81295
4 vaccinations
6 coded responses
49 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
GW3-13988-11463
Child or adolescent in my care · Female · 2022-08-05
V3K-31161-80474
Child or adolescent in my care · Male · 2022-08-07
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
- 2021-01-08
- 2021-01-09
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Headache, Lymphadenopathy, Myalgia, Nausea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Days 5 - 9 I experienced the following: swollen lymph node in armpit of vaccinated arm, mild muscle aches predominantly on my left side, joint pain, fatigue, some nausea, and a headache. All of these symptoms were mild. I tested negative for COVID-19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-31
Dose 2 — Moderna
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: Negative test 1 hour before 2nd dose and positive COVID test 31 hours 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-05-02
-
2021-08-01
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Gestational diabetes, Pre-eclampsia — Feeling: Fair · 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, HospitalizationFree text: Gestational diabetes PreeclampsiaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-02-04
- 2022-04-29
-
2022-09-07
Dose 4 — ModernaCo-administered: Flu
-
2022-09-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-23
- 2022-09-30
- 2022-10-05
- 2022-10-14
- 2022-10-20
- 2022-12-07
-
2023-03-08
Survey response — 6 months, dose 4MedDRA: Abortion spontaneous, Uterine dilation and curettage — 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, HospitalizationMedDRA releases: 2024-11
-
2023-03-08
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2023-03-09
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-07 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-28 | Unsuccessful | |
| 2023-03-08 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Days 5 - 9 I experienced the following: swollen lymph node in armpit of vaccinated arm, mild muscle aches predominantly on my left side, joint pain, fatigue, some nausea, and a headache. All of these symptoms were mild. I tested negative for COVID-19 cut off by CDC
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Negative test 1 hour before 2nd dose and positive COVID test 31 hours 2nd dose
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — 3 months, dose 3
Symptoms: Gestational diabetes Preeclampsia
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 |
|---|---|---|---|---|
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gestational diabetes | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release