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SQN-25329-67521

2 vaccinations 3 coded responses 18 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
981 / WA
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Swollen lymph nodes in left axilla and left groin. (Injection was on left arm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-14
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-30
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chest discomfort and possible irregular heart rate. May or may not be vaccine related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-03
    Dose 2 — Moderna
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  15. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-24
    Survey response — day 21, dose 2
    MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work, 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: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-24
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-08
  20. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-08
  23. 2021-04-08
    Call successful
    Participant prefers to complete VAERS report online
  24. 2021-05-03
  25. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 Successful
2021-04-08
Participant prefers to complete VAERS report online
2021-02-24 Unsuccessful

Free text

Release 1 — day 7, dose 1

2021-01-14

Systemic reaction (other): Swollen lymph nodes in left axilla and left groin. (Injection was on left arm)

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Chest discomfort and possible irregular heart rate. May or may not be vaccine related.

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Miscarriage

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
SDAbortion spontaneous ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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