U37-41847-41704
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 336 / FL
- Registered
- 2021-08-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-07
Dose 1 — Moderna
-
2021-08-09
Registered in v-safe
-
2021-08-09
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: PainFree text: This is the 2nd day of first dose of COVID 19 vaccine, arm pain decreased from severe to moderateMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-13
- 2021-08-14
- 2021-08-21
-
2021-08-28
Survey response — day 21, dose 1MedDRA: Gestational diabetes — Feeling: GoodFree text: gestational diabetesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Dose 2 — Moderna
- 2021-09-04
-
2021-09-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-06
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-10
- 2021-09-11
- 2021-09-19
- 2021-09-27
- 2021-10-02
- 2021-10-10
- 2021-10-17
-
2021-12-04
Survey response — 3 months, dose 2MedDRA: Delivery, Ectopic pregnancy, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Corneal pregnancy , unknown headache after giving birthMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-06
-
2022-04-02
Dose 3 — Moderna
- 2022-05-06
- 2022-05-09
- 2022-05-14
- 2022-07-04
- 2022-10-01
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-07 | Moderna | No |
| 2 | 2021-09-04 | Moderna | No |
| 3 | 2022-04-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-04 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): This is the 2nd day of first dose of COVID 19 vaccine, arm pain decreased from severe to moderate
Release 9 — day 21, dose 1
Symptoms: gestational diabetes
Release 10 — 3 months, dose 2
Symptoms: Corneal pregnancy , unknown headache after giving birth
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 | Delivery | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Gestational diabetes | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release