RSH-15860-40217
4 vaccinations
1 coded response
31 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
- 2020-12-27
-
2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-10
-
2021-01-24
Dose 2 — Moderna
-
2021-01-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-16
- 2021-02-23
- 2021-02-28
- 2021-03-07
- 2021-04-25
- 2021-07-25
-
2021-10-09
Dose 3 — Moderna
- 2022-01-24
-
2022-09-21
Dose 4 — Moderna
- 2022-10-09
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 4MedDRA: Abortion spontaneous, Medical procedure — Feeling: Fair · 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 visit, HospitalizationFree text: Symptoms: Miscarriage · Healthcare visit (other): Procedure needed after miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Report sent to call center — 3 months, dose 4Be 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 · Hospitalization · 1 call case(s)
- 2022-12-22
-
2023-01-04
Callback requested for01:00PM ET
-
2023-01-04
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna | |
| 3 | 2021-10-09 | Moderna | No |
| 4 | 2022-09-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-21 | Successful 2023-01-04 |
Completed over the phone |
Free text
Release 12 — 3 months, dose 4
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 | Abortion spontaneous | · | · | ✓ |
| HCVO | Medical procedure | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Medical procedure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release