RQ6-29533-21740
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 113 / NY
- Registered
- 2021-06-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-04
Registered in v-safe
-
2021-06-04
Dose 1 — Moderna
- 2021-06-04
-
2021-06-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-06
- 2021-06-07
- 2021-06-09
-
2021-06-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-11
- 2021-06-18
-
2021-06-25
Survey response — day 21, dose 1MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches, congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Dose 2 — Moderna
- 2021-07-02
-
2021-07-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-07-05
- 2021-07-06
- 2021-07-07
-
2021-07-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-07-09
- 2021-07-16
- 2021-07-25
- 2021-07-30
- 2021-08-06
-
2021-08-13
Survey response — day 42, dose 2MedDRA: Headache, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headaches and nausea.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-01
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Two miscarriages.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-05
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-04 | Moderna | |
| 2 | 2021-07-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-31 | Successful 2022-01-05 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 21, dose 1
Symptoms: Headaches, congestion.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 9 — day 42, dose 2
Symptoms: Headaches and nausea.
Release 9 — 3 months, dose 2
Symptoms: I am pregnant.
Release 10 — 6 months, dose 2
Symptoms: Two miscarriages.
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 | Nausea | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release