RRM-15907-67416
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Survey response — 14 day, dose 1MedDRA: Ear pain, Headache, Oropharyngeal pain — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-19
-
2021-01-28
Dose 2 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
-
2021-02-04
Health check-in — 7 day, dose 2Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-02-04
Report sent to call center — 7 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-11
Survey response — 14 day, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-11
Report sent to call center — 14 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-20
- 2021-03-11
- 2021-05-05
-
2021-07-31
Survey response — 6 month, dose 2MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-04 | Unsuccessful | |
| 2021-02-11 | Unsuccessful |
Free text
Release 2
Symptoms: Headache for 10 days earache & sore throat since vaccine
Release 4
Symptoms: Early pregnancy miscarriage 6 weeks pregnant
Release 9
Symptoms: Covid positive
Free-text releases are not linked to a specific 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 | COVID-19 | ✓ | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release