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
-
2021-04-06
Dose 1 — Moderna
-
2021-05-04
Dose 2 — Moderna
-
2022-01-17
Dose 3 — Moderna
-
2022-01-18
Registered in v-safe
-
2022-01-19
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: No appetite (not sure if it is related)MedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-22
-
2022-01-24
Survey response — day 7, dose 3MedDRA: Cardiac flutter, Heart rate increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Increased heart rate, heart flutter when I doing normal activities (cooking dinner)MedDRA releases: 2024-11 · check-in free text available
- 2022-02-09
- 2022-02-14
- 2022-02-23
-
2022-02-28
Survey response — day 42, dose 3MedDRA: 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 consultationFree 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
-
2022-02-28
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-18
-
2022-07-18
Survey response — 6 months, dose 3MedDRA: 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 visitFree 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
-
2022-07-18
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-20
- 2022-07-20
-
2023-01-17
Survey response — 12 months, dose 3MedDRA: Postpartum disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | No |
| 2 | 2021-05-04 | Moderna | No |
| 3 | 2022-01-17 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No appetite (not sure if it is related)
Release 11 — day 7, dose 3
Systemic reaction (other): Increased heart rate, heart flutter when I doing normal activities (cooking dinner)
Release 11 — day 42, dose 3
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Adverse reaction | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Anaesthesia oral | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Postpartum disorder | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tongue disorder | · | · | ✓ |
| SRO | Cardiac flutter | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release