V2K-11261-38979
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-06-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-21
Dose 1 — Moderna
-
2021-06-22
Registered in v-safe
-
2021-06-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-06-23
-
2021-06-24
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Stomach pain different than what I have experienced with pregnancy thus farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Different than I have experienced in my pregnancy. A deep stomach ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
- 2021-06-27
- 2021-06-30
-
2021-07-05
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Gastrointestinal pain, Pregnancy, Vomiting — Feeling: GoodFree text: Vomited multiple times in a day and very sore stomach and intestines that did not seem like my usual aches from pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
- 2021-07-19
-
2021-07-26
Dose 2 — Moderna
- 2021-08-02
- 2021-08-15
- 2021-08-19
- 2021-08-24
- 2021-08-30
- 2021-09-08
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2021-10-26
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a cold for two weeks, tested negative for Covid. Symptoms were headache, sore throat, cough, runny nose, congestion, increased exhaustion.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
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2022-07-26
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultationFree text: Tested positive for covid on 7/18/22MedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Report sent to call center — 12 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 · 1 call case(s)
- 2022-07-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-21 | Moderna | No |
| 2 | 2021-07-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-26 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Stomach pain different than what I have experienced with pregnancy thus far
Systemic reaction (other): Different than I have experienced in my pregnancy. A deep stomach ache.
Release 9 — day 14, dose 1
Symptoms: Vomited multiple times in a day and very sore stomach and intestines that did not seem like my usual aches from pregnancy.
Release 10 — 3 months, dose 2
Symptoms: I had a cold for two weeks, tested negative for Covid. Symptoms were headache, sore throat, cough, runny nose, congestion, increased exhaustion.
Release 12 — 12 months, dose 2
Symptoms: Tested positive for covid on 7/18/22
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release