VJY-35092-04699
4 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 074 / NJ
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 2MedDRA: Fatigue, Lethargy — Feeling: FairFree text: I'm very tired and lethargic today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-15
Survey response — day 28, dose 2MedDRA: Headache, Lethargy — Feeling: Fair · Be unable to workFree text: Lethargy, headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-05-03
- 2021-06-17
- 2021-09-16
-
2021-11-16
Dose 3 — Moderna
-
2022-03-18
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-08-06
Dose 4 — Moderna
- 2022-09-22
-
2022-11-07
Survey response — 3 months, dose 4MedDRA: COVID-19, Delivery — 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 consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: COVID-19 and Labor and DeliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — 3 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-11-08
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-08-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-07 | Unsuccessful |
Free text
Release 6 — day 14, dose 2
Symptoms: I'm very tired and lethargic today.
Release 7 — day 28, dose 2
Symptoms: Lethargy, headaches.
Release 11 — 12 months, dose 2
Symptoms: Pregnant
Release 12 — 3 months, dose 4
Symptoms: COVID-19 and Labor and 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 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release