TL8-25605-70406
3 vaccinations
6 coded responses
40 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 211 / MD
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RE8-18718-48744
Child or adolescent in my care · Male · 2022-07-15
Timeline
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2021-03-07
Registered in v-safe
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2021-03-07
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-07
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: Nausea was very fleeting and not constant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-06-06
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2021-09-07
Survey response — 6 months, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Asthma flare upsMedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-12
-
2021-10-29
Dose 2 — ModernaCo-administered: Flu
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 35, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Cough/congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Survey response — day 42, dose 2MedDRA: Office visit, Pelvic discomfort, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Some pelvic pain, tightness in pelvis · Healthcare visit (other): Doctor officeMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-13
- 2022-01-28
-
2022-05-01
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-12
Dose 3 — Moderna
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2022-07-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2022-07-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-07-17
- 2022-07-18
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
- 2022-08-25
- 2022-10-12
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2023-01-10
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-29 | Moderna | Flu |
| 3 | 2022-07-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-07 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-12-12 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-01 | Successful 2022-05-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea was very fleeting and not constant.
Release 9 — 6 months, dose 1
Symptoms: Asthma flare ups
Release 10 — day 35, dose 2
Symptoms: Cough/congestion
Release 10 — day 42, dose 2
Release 11 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pelvic discomfort | · | · | ✓ |
| SD | Pelvic pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release