RVM-29730-50834
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 545 / WI
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-18
-
2021-01-21
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-27
- 2021-03-06
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: PukeyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Vomiting — Feeling: Fair · Be unable to workFree text: VomittingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Vomiting, Weight decreased — 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, Emergency room or emergency department visitFree text: Extreme vomiting. Pregnancy Loss. 46 lb weight lossMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-19
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shortness of breath, pregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-12 | Unsuccessful |
Free text
Release 6 — day 42, dose 2
Symptoms: Pukey
Release 8 — 3 months, dose 2
Symptoms: Vomitting
Release 9 — 6 months, dose 2
Symptoms: Extreme vomiting. Pregnancy Loss. 46 lb weight loss
Release 11 — 12 months, dose 2
Symptoms: Shortness of breath, pregnancy
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 | Dyspnoea | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release