VTB-32404-59745
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 283 / NC
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Moderna
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-12
-
2021-04-19
Survey response — day 14, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Left arm and shoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-05-06
Dose 2 — Moderna
-
2021-05-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, DiarrheaAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · ChillsAdult check-in
- 2021-05-09
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion, Sneezing — Feeling: GoodFree text: Sneezing, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
-
2021-05-13
Survey response — day 7, dose 2MedDRA: Dry skin, Pruritus — Feeling: GoodFree text: Dry, itchy skin on faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
-
2021-06-05
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Menstrual cycle is usually regular. Came 5 days early and was very dark. Was much shorter than usual. Pregnancy tests have been negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-19
- 2021-08-05
- 2021-11-04
-
2021-11-11
Dose 3 — Moderna
-
2021-11-11
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-17
- 2021-12-26
- 2022-02-10
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2022-05-12
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-13
-
2022-11-11
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage - May 2022 Chemical pregnancy - July 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
- 2022-11-14
- 2022-11-17
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-12 | Unsuccessful | |
| 2022-11-11 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Left arm and shoulder pain
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing, congestion
Release 8 — day 7, dose 2
Systemic reaction (other): Dry, itchy skin on face
Release 8 — day 28, dose 2
Symptoms: Menstrual cycle is usually regular. Came 5 days early and was very dark. Was much shorter than usual. Pregnancy tests have been negative.
Release 11 — 6 months, dose 3
Symptoms: Pregnancy
Release 12 — 12 months, dose 3
Symptoms: Miscarriage - May 2022 Chemical pregnancy - July 2022
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release