V4P-74355-96386
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Mild arm soreness where the shot was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-19
- 2021-03-25
- 2021-04-13
- 2021-04-21
-
2021-06-08
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had a miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-15
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-07
-
2021-11-15
Dose 3 — Moderna
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-18
-
2022-11-17
Survey response — 12 months, dose 3MedDRA: Headache, Pain in jaw, Panic attack — Feeling: Good · 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: Panic attacks, headaches, jaw painMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-08 | Successful 2021-06-15 |
Participant prefers to complete VAERS report online |
| 2022-11-17 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild arm soreness where the shot was.
Release 8 — 3 months, dose 2
Symptoms: Had a miscarriage.
Release 12 — 12 months, dose 3
Symptoms: Panic attacks, headaches, jaw pain
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 | Headache | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Panic attack | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release