VN4-29313-71482
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-04
-
2021-04-22
Dose 2 — Moderna
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Nodule — Feeling: Good · Muscle or body achesFree text: Knot in shoulder bladeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Ectopic pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Ectopic pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-21
- 2021-05-27
- 2021-06-03
-
2021-10-26
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Poor · 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: Body aches, sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Unsuccessful | |
| 2021-10-26 | Unsuccessful |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Knot in shoulder blade
Release 8 — day 28, dose 2
Symptoms: Ectopic pregnancy
Release 10 — 6 months, dose 2
Symptoms: Body aches, sore throat, congestion
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 | Ectopic pregnancy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release