V65-28522-82048
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 201 / VA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-04-16
Registered in v-safe
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-24
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-05-16
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Ear infection, Hypersensitivity — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Lacrimation increased, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-19
-
2021-05-20
Survey response — 7 day, dose 2MedDRA: Pregnancy — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-27
- 2021-06-03
- 2021-06-10
-
2021-06-17
Survey response — 35 day, dose 2MedDRA: Exposure during pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-17
Report sent to call center — 35 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-06-24
- 2021-08-12
-
2021-11-11
Survey response — 6 month, dose 2MedDRA: Pregnancy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2022-01-12
Dose 3 — ModernaCo-administered: Flu
- 2022-07-13
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2022-01-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-17 | Successful 2021-06-19 |
Participant prefers to complete VAERS report online |
Free text
Release 8
Systemic reaction (other): Allergies, I think Im getting an ear infection.
Systemic reaction (other): Cold symptoms. Sneezing, watery eyes, runny stuffy nose
Systemic reaction (other): I found out today I am pregnant
Release 9
Symptoms: Possible miscarriage
Release 10
Symptoms: I'm pregnant
Free-text releases are not linked to a specific 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 | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Ear infection | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release