RRJ-10182-61076
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 800 / CO
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-13
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-12
- 2021-02-19
- 2021-02-24
- 2021-03-10
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: EczemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-30
-
2021-11-05
Dose 3 — Moderna
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: FairFree text: Seasonal allergy type symptoms- runny nose, congestion, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea, Sneezing — Feeling: FairFree text: Runny nose, nasal congestion , sneezingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
-
2021-11-19
Survey response — day 14, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-19
- 2022-02-04
- 2022-04-08
- 2022-05-06
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage 9/5/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-07
Call successfulNot applicable - Accidental Reporting
-
2022-11-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-28 | Successful 2022-11-07 |
Not applicable - Accidental Reporting |
| 2022-11-05 | Successful 2022-11-07 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — 3 months, dose 2
Symptoms: Eczema
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Seasonal allergy type symptoms- runny nose, congestion, sneezing
Systemic reaction (other): Runny nose, nasal congestion , sneezing
Release 10 — day 14, dose 3
Symptoms: Sore throat
Release 12 — 12 months, dose 3
Symptoms: Miscarriage 9/5/2022
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 | Eczema | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release