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TW6-15126-91381

2 vaccinations 2 coded responses 25 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
925 / CA
Registered
2021-01-11
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-12
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-10
    Dose 2 — Moderna
  14. 2021-02-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Muscle or body aches
    Adult check-in
  16. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-10
    Survey response — day 28, dose 2
    MedDRA: Feeling hot — Feeling: Good
    Free text: Feeling hot internally starting from toe till head. Check my temperature and dont have fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Ectopic pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Ectopic pregnancy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-08-13
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  30. 2021-08-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-02-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-12 priority 2/3
2021-08-13 Successful
2021-08-18
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Feeling hot internally starting from toe till head. Check my temperature and dont have fever.

Release 9 — 6 months, dose 2

2021-08-13

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

FieldPreferred term2021-092023-042024-11
SDEctopic pregnancy ✓ · ✓
SDFeeling hot ✓ ✓ ✓

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

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