WDL-28049-55201
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 336 / FL
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5DX-15824-62940
Child or adolescent in my care · Female · 2022-09-25
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-05
- 2021-01-14
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Flushing, Hyperhidrosis, Syncope — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaFree text: Felt flushed and sweaty like I was going to pass out at one pointMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: COVID-19, Delivery, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Had a baby on (b)(6) , tested positive for covid on May 12th (asymptomatic) only got tested because it was for pre admission to the hospital for induction. · Healthcare visit (other): Only because I was having a baby (not covid related)MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-10-23
Dose 3 — ModernaCo-administered: Flu
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-25
-
2022-09-25
Dose 4 — ModernaCo-administered: Flu
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
-
2022-11-06
Survey response — day 42, dose 4MedDRA: Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Runny/stuffy nose for a few daysMedDRA releases: 2024-11 · check-in free text available
- 2022-12-25
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-23 | Moderna | Flu |
| 4 | 2022-09-25 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-27 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Felt flushed and sweaty like I was going to pass out at one point
Systemic reaction (other): Dizziness
Release 3 — day 7, dose 2
Systemic reaction (other): Dizzy
Release 9 — 6 months, dose 2
Symptoms: Had a baby on (b)(6) , tested positive for covid on May 12th (asymptomatic) only got tested because it was for pre admission to the hospital for induction.
Healthcare visit (other): Only because I was having a baby (not covid related)
redacted (b)(6)
Release 12 — day 42, dose 4
Symptoms: Runny/stuffy nose for a few days
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Delivery | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release