VVC-11790-04299
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 427 / KY
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Uncontrollable shiveringMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: Good · Site: PainFree text: Flushing, just early AMMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-16
- 2021-01-21
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 35, dose 2MedDRA: Pregnancy, Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: paroxysmal SVT, once. Possibly related to pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
- 2021-03-14
-
2021-04-08
Call successfulCompleted over the phone
- 2021-05-01
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-01 | Successful | Completed over the phone |
| 2021-03-05 | Successful 2021-04-08 |
Completed over the phone |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Uncontrollable shivering
Systemic reaction (other): Flushing, just early AM
Release 5 — day 35, dose 2
Symptoms: paroxysmal SVT, once. Possibly related to pregnancy.
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 | Pregnancy | ✓ | ✓ | ✓ |
| SD | Supraventricular tachycardia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release