RJ8-92789-25338
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-09-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-16
Registered in v-safe
-
2021-09-16
Dose 1 — Moderna
- 2021-09-16
- 2021-09-17
-
2021-09-18
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Ear achesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-19
-
2021-09-20
Survey response — days 1–6 daily, dose 1MedDRA: Blepharospasm — Feeling: Good · Site: PainFree text: Eye twitchingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
- 2021-09-23
- 2021-09-30
- 2021-10-07
-
2021-10-14
Dose 2 — Moderna
- 2021-10-14
-
2021-10-15
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Earache on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
-
2022-01-13
Survey response — 3 months, dose 2MedDRA: Caesarean section, Premature labour — 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 · Emergency room or emergency department visit, HospitalizationFree text: I had a baby at 34 weeks via emergency c section.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Report sent to call center — 3 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-01-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-16 | Moderna | No |
| 2 | 2021-10-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Ear aches
Systemic reaction (other): Eye twitching
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Earache on injection side
Release 10 — 3 months, dose 2
Symptoms: I had a baby at 34 weeks via emergency c section.
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 | Caesarean section | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SRO | Blepharospasm | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release