VH4-29821-59682
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 017 / MA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 21, dose 1MedDRA: Fatigue, Pre-existing disease, Seasonal allergy — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue has been very bad the last few days even before the time change but I attribute it to seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Dose 2 — Moderna
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-07
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-11-01
Dose 3 — ModernaCo-administered: Flu
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Shortness of breath · Healthcare visit (other): PCR test so I can return to work when I feel well enoughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, NauseaAdult check-in
- 2021-11-06
- 2021-11-08
- 2021-11-08
- 2021-11-22
- 2021-11-30
- 2021-12-06
- 2021-12-13
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: FairFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 4 — Moderna
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-02
- 2022-10-03
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-21
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2022-10-28
Survey response — day 28, dose 4MedDRA: Hypertension, Premature labour — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Preterm labor and Hypertension.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: Gestational hypertension, Premature delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Gestational hypertension resulting in baby being delivered at 36 weeks but also really large, 9lbs 4oz. I then required blood pressure medication for 6 weeks post delivery.MedDRA releases: 2024-11 · check-in free text available
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2022-12-30
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2023-01-03
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-09-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-03 | Successful 2022-10-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-28 | Successful 2022-10-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-30 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 5 — day 21, dose 1
Symptoms: Fatigue has been very bad the last few days even before the time change but I attribute it to seasonal allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath
Healthcare visit (other): PCR test so I can return to work when I feel well enough
Release 11 — 6 months, dose 3
Symptoms: Pregnant
Release 12 — day 28, dose 4
Symptoms: Preterm labor and Hypertension.
Release 12 — 3 months, dose 4
Symptoms: Gestational hypertension resulting in baby being delivered at 36 weeks but also really large, 9lbs 4oz. I then required blood pressure medication for 6 weeks post delivery.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gestational hypertension | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release