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SBF-21927-68805

3 vaccinations 5 coded responses 11 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
021 / MA
Registered
2022-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-05-04
    Dose 2 — Moderna
  3. 2022-01-17
    Dose 3 — Moderna
  4. 2022-01-18
    Registered in v-safe
  5. 2022-01-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain
    Free text: No appetite (not sure if it is related)
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  7. 2022-01-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · Headache
    Adult check-in
  8. 2022-01-24
    Survey response — day 7, dose 3
    MedDRA: Cardiac flutter, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Increased heart rate, heart flutter when I doing normal activities (cooking dinner)
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-02-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-02-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-02-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-02-28
    Survey response — day 42, dose 3
    MedDRA: Adverse reaction, Anaesthesia oral, Erythema, Medical counselling, Oral pain, Tongue disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Developed trush like symptoms over half of the tongue and red dots almost like hives. It's been 3 days and slowing going away but still painful to brush and loss of sensation over part of it, almost like I burnt my tastebuds. · Healthcare visit (other): Spoke with my IVF team to ensure this was not a reaction to medications. They did not believe the reaction was related.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-02-28
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-03-03
    Call successful
    Participant prefers to complete VAERS report online
  15. 2022-04-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-07-18
    Survey response — 6 months, dose 3
    MedDRA: Ear infection, Pregnancy, Respiratory tract congestion, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Currently pregnant, have had a sinus and ear infection since July 5, chest congestion since July 15.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-07-18
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-07-20
  19. 2022-07-20
  20. 2023-01-17
    Survey response — 12 months, dose 3
    MedDRA: Postpartum disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna No
22021-05-04Moderna No
32022-01-17Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2022-01-19

Systemic reaction (other): No appetite (not sure if it is related)

Release 11 — day 7, dose 3

2022-01-24

Systemic reaction (other): Increased heart rate, heart flutter when I doing normal activities (cooking dinner)

Release 11 — day 42, dose 3

2022-02-28

Symptoms: Developed trush like symptoms over half of the tongue and red dots almost like hives. It's been 3 days and slowing going away but still painful to brush and loss of sensation over part of it, almost like I burnt my tastebuds.
Healthcare visit (other): Spoke with my IVF team to ensure this was not a reaction to medications. They did not believe the reaction was related.

Release 12 — 6 months, dose 3

2022-07-18

Symptoms: Currently pregnant, have had a sinus and ear infection since July 5, chest congestion since July 15.

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

FieldPreferred term2021-092023-042024-11
HCVOAdverse reaction · · ✓
HCVOMedical counselling · · ✓
SDAnaesthesia oral · · ✓
SDEar infection · · ✓
SDErythema · · ✓
SDOral pain · · ✓
SDPostpartum disorder · · ✓
SDPregnancy · · ✓
SDRespiratory tract congestion · · ✓
SDSinusitis · · ✓
SDTongue disorder · · ✓
SROCardiac flutter · · ✓
SRODecreased appetite · · ✓
SROHeart rate increased · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release