W8X-18975-32347
2 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Constipation, Dizziness, Flank pain, Pelvic pain, Skin burning sensation, Urinary tract infection — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: If "today" means the last 24 hours, pelvic pain, burning akin to a UTI, flank pain, dizziness, constipationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-31
- 2021-07-17
-
2021-10-16
Survey response — 6 months, dose 2MedDRA: Anxiety, Fatigue, Headache, Insomnia — 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 · Outpatient clinic or urgent care clinic visitFree text: Headaches, fatigue, trouble sleeping, anxietyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
-
2022-04-17
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a miscarriage on 3.18.22MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-16 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): If "today" means the last 24 hours, pelvic pain, burning akin to a UTI, flank pain, dizziness, constipation
Release 10 — 6 months, dose 2
Symptoms: Headaches, fatigue, trouble sleeping, anxiety
Release 11 — 12 months, dose 2
Symptoms: I had a miscarriage on 3.18.22
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 | Anxiety | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Pelvic pain | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release