SH4-29867-62112
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 040 / ME
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-27
Dose 2 — Moderna
-
2021-03-01
Registered in v-safe
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Survey response — day 21, dose 2MedDRA: Hypertension, Mastitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Mastitis and hypertensionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
-
2021-04-03
Survey response — day 35, dose 2MedDRA: Mastitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Mastitis AGAINMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Mastitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Mastitis againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-06-15
- 2021-08-30
-
2022-02-27
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Hypothyroidism — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Miscarriage and hypothyroidismMedDRA releases: 2024-11 · check-in free text available
-
2022-02-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-28
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-20 | Unsuccessful | |
| 2021-04-03 | Unsuccessful | |
| 2021-04-10 | Unsuccessful | |
| 2022-02-27 | Successful 2022-02-28 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 21, dose 2
Symptoms: Mastitis and hypertension
Release 6 — day 35, dose 2
Symptoms: Mastitis AGAIN
Release 7 — day 42, dose 2
Symptoms: Mastitis again
Release 11 — 12 months, dose 2
Symptoms: Miscarriage and hypothyroidism
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 | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypothyroidism | · | · | ✓ |
| SD | Mastitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release