RM3-20375-88407
4 vaccinations
2 coded responses
33 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-23
- 2021-01-29
- 2021-02-05
- 2021-02-14
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Muscle or body achesAdult check-in
-
2021-02-26
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · Fever · ChillsFree text: Positive pregnancy blood testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 35, dose 2MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Missed miscarriage requiring d&c today. · Healthcare visit (other): (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-04
- 2021-04-06
- 2021-05-21
- 2021-08-20
-
2021-09-04
Dose 3 — ModernaCo-administered: Flu
- 2021-12-04
- 2022-09-06
-
2022-09-12
Dose 4 — ModernaCo-administered: Flu
- 2022-09-30
- 2022-10-03
- 2022-10-10
- 2022-10-19
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-04 | Moderna | Flu |
| 4 | 2022-09-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | priority 2/3 | |
| 2021-01-17 | priority 2/3 | |
| 2021-03-26 | Unsuccessful |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Positive pregnancy blood test
Release 6 — day 35, dose 2
Symptoms: Missed miscarriage requiring d&c today.
Healthcare visit (other): (b)(6)
redacted (b)(6)
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 | Uterine dilation and curettage | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release