RRG-12797-63279
2 vaccinations
8 coded responses
16 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 958 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Syncope — Feeling: Poor · Site: Pain, Redness, Swelling · HeadacheFree text: Feeling lightheaded/faintMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
- 2021-01-25
- 2021-01-29
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — day 21, dose 1MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Speech disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Jumbling up words. Saying the wrong words in place of intended word.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 21, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Neck stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 28, dose 2MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Body acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 42, dose 2MedDRA: Fatigue, Nasal congestion, Nausea, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue, nausea, sore throat, runny nose, sneezing, stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-08-21
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — 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 visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-23
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-19 | Successful 2022-02-23 |
Completed over the phone |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling lightheaded/faint
Release 3 — day 14, dose 1
Symptoms: Headache
Release 4 — day 21, dose 1
Symptoms: Heart palpitations
Release 5 — day 14, dose 2
Symptoms: Jumbling up words. Saying the wrong words in place of intended word.
Release 5 — day 21, dose 2
Symptoms: Neck stiffness
Release 5 — day 28, dose 2
Symptoms: Body ache
Release 6 — day 42, dose 2
Symptoms: Fatigue, nausea, sore throat, runny nose, sneezing, stuffy nose
Release 11 — 12 months, dose 2
Symptoms: Miscarriage
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Speech disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release