SXE-20438-76107
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-01-01
Registered in v-safe
- 2021-01-01
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Moderate Axilla pain on same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Mild pain in ipsilateral axillaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Abortion missed — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Missed abortionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-11-01
Dose 3 — Moderna
- 2022-01-26
- 2022-05-02
-
2022-11-01
Survey response — 12 months, dose 3MedDRA: Goitre — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Multinodular goiterMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-02
- 2022-11-02
-
2022-11-03
Call successfulDoes not wish to fill out VAERS report
-
2022-11-03
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-29 | Successful 2022-11-03 |
Does not wish to fill out VAERS report |
| 2022-11-01 | Successful 2022-11-03 |
Does not wish to fill out VAERS report |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Moderate Axilla pain on same side as shot
Release 1 — day 7, dose 1
Systemic reaction (other): Mild pain in ipsilateral axilla
Release 9 — 6 months, dose 2
Symptoms: Missed abortion
Release 12 — 12 months, dose 3
Symptoms: Multinodular goiter
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 missed | ✓ | · | ✓ |
| SD | Goitre | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release