SGY-31628-19714
1 vaccination
2 coded responses
10 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Fair · Site: Redness, Itching · Fever · Chills, NauseaAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Nausea, Abdominal painAdult check-in
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 28, dose 1MedDRA: Abdominal pain upper, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Stomach ache and feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-23
-
2022-03-27
Survey response — 12 months, dose 1MedDRA: Ectopic pregnancy — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Ectopic pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-03-27
Report sent to call center — 12 months, dose 1Be 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)
-
2022-04-01
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-27 | Successful 2022-04-01 |
Does not wish to fill out VAERS report |
Free text
Release 7 — day 28, dose 1
Symptoms: Stomach ache and feverish
Release 11 — 12 months, dose 1
Symptoms: Ectopic 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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release