UCF-22935-59703
3 vaccinations
4 coded responses
20 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 610 / IL
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Chills, headache, fever, body aches. Lasted for 2 days after my second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — day 42, dose 2MedDRA: 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 · Outpatient clinic or urgent care clinic visitFree text: I had a complete miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
-
2021-10-25
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-03
- 2021-11-11
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Hypertension, Postpartum state — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Postpartum hypertensionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-26
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Successful | Not applicable - Accidental Reporting |
| 2022-04-25 | Successful 2022-04-26 |
Not applicable - Accidental Reporting |
Free text
Release 4 — day 14, dose 2
Symptoms: Chills, headache, fever, body aches. Lasted for 2 days after my second vaccine.
Release 5 — day 21, dose 2
Symptoms: Fatigue
Release 6 — day 42, dose 2
Symptoms: I had a complete miscarriage.
Release 11 — 6 months, dose 3
Symptoms: Postpartum hypertension
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 spontaneous | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release