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UT8-31525-96713

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
925 / CA
Registered
2021-01-30
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-12
    Dose 2 — Moderna
  6. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Fatigue, Pain in jaw — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Slight pain on my shoulder close to my neck and noticed jaw pain and tired for one hour. Took a nap and it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous — 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: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-02-19
    Report sent to call center — 12 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
    Emergency room or emergency department visit · 1 call case(s)
  14. 2022-02-23

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-02-19 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Slight pain on my shoulder close to my neck and noticed jaw pain and tired for one hour. Took a nap and it went away.

Release 11 — 12 months, dose 2

2022-02-19

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SROArthralgia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓

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