VCY-33192-42233
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 031 / NH
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Moderna
-
2021-04-30
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Good · ChillsFree text: Numbness in injection arm/handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Mildly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-05-28
Dose 2 — Moderna
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
- 2021-06-03
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
-
2021-07-09
Survey response — day 42, dose 2MedDRA: Cough — Feeling: FairFree text: Persistent coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-27
Survey response — 3 months, dose 2MedDRA: Haemorrhage, Hypoaesthesia, Syncope — Feeling: GoodFree text: I fainted after a small amount of blood loss and my extremities have been losing feeling fairly frequently.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-26
-
2021-12-11
Dose 3 — Moderna
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-25
-
2022-01-01
Survey response — day 21, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat. Headache.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-08
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stuffy/runny nose, cough, sore throat, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-01-22
- 2022-03-12
- 2022-06-11
-
2022-12-11
Survey response — 12 months, dose 3MedDRA: 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 · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-11 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Numbness in injection arm/hand
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Mildly dizzy
Release 9 — day 42, dose 2
Symptoms: Persistent cough
Release 9 — 3 months, dose 2
Symptoms: I fainted after a small amount of blood loss and my extremities have been losing feeling fairly frequently.
Release 10 — day 21, dose 3
Symptoms: Sore throat. Headache.
Release 10 — day 28, dose 3
Symptoms: Stuffy/runny nose, cough, sore throat, fatigue
Release 12 — 12 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Haemorrhage | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Syncope | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release