UV9-16614-21186
3 vaccinations
1 coded response
21 check-ins
1 free-text entry
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 086 / NJ
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-13
Dose 1 — Moderna
-
2021-04-14
Registered in v-safe
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to workAdult check-in
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Nausea · Be unable to workAdult check-in
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Nausea, Vomiting · Be unable to workAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-11
Dose 2 — Moderna
-
2021-05-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
-
2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to workFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-17
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-08-10
- 2021-11-11
-
2021-11-29
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | priority 2/3 | |
| 2021-04-16 | priority 2/3 | |
| 2021-04-17 | priority 2/3 |
1 report(s) with no call case — see the timeline.
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache
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 |
|---|---|---|---|---|
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release