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VV6-23067-50331

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
982 / WA
Registered
2021-07-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-19
    Dose 1 — Moderna
  2. 2021-07-25
    Registered in v-safe
  3. 2021-07-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-07-26
    Survey response — day 7, dose 1
    MedDRA: Fatigue, Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant so fatigued from that!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-08-16
    Dose 2 — Moderna
  7. 2021-08-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-08-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-08-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-08-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-08-23
    Survey response — day 7, dose 2
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-09-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-30
    Dose 3 — Moderna
  20. 2022-04-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-05-04
    Survey response — day 35, dose 3
    MedDRA: Nasopharyngitis, Urticaria — Feeling: Poor · 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 visit
    Free text: I had a bad case of hives 2 weeks ago that has gotten a bit better but still present but have no reason to believe it's connected to the shot. Very bad tree pollen year. I also came down with a cold yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-05-04
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-06-29
    Survey response — 3 months, dose 3
    MedDRA: Urticaria — 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
    Free text: Severe hives 2 weeks after booster shot on March 31
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-06-29
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2022-06-30
  26. 2022-06-30
  27. 2022-06-30
    Call successful
    Participant prefers to complete VAERS report online
  28. 2022-06-30
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-07-19Moderna No
22021-08-16Moderna No
32022-03-30Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-05-04 Successful
2022-06-30
 Participant prefers to complete VAERS report online
2022-06-29 Successful
2022-06-30
 Participant prefers to complete VAERS report online

Free text

Release 9 — day 7, dose 1

2021-07-26

Systemic reaction (other): Pregnant so fatigued from that!

Release 9 — days 1–6 daily, dose 2

2021-08-20

Systemic reaction (other): Pregnant

2021-08-21

Systemic reaction (other): Pregnant

Release 9 — day 7, dose 2

2021-08-23

Systemic reaction (other): Pregnant

Release 11 — day 35, dose 3

2022-05-04

Symptoms: I had a bad case of hives 2 weeks ago that has gotten a bit better but still present but have no reason to believe it's connected to the shot. Very bad tree pollen year. I also came down with a cold yesterday.

Release 12 — 3 months, dose 3

2022-06-29

Symptoms: Severe hives 2 weeks after booster shot on March 31

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

FieldPreferred term2021-092023-042024-11
SDNasopharyngitis · · ✓
SDUrticaria · · ✓
SROFatigue ✓ · ✓
SROPregnancy ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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