WDV-33980-39758
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 673 / KS
- Registered
- 2021-08-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-18
Registered in v-safe
-
2021-08-18
Dose 1 — Moderna
-
2021-08-18
Survey response — day 0, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Survey response — days 1–6 daily, dose 1MedDRA: Foetal hypokinesia, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Decreased fetal movement and sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: RednessFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
Survey response — days 1–6 daily, dose 1MedDRA: Discharge, Oropharyngeal pain — Feeling: FairFree text: Drainage sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-22
Survey response — days 1–6 daily, dose 1MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: Post nasal dripMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-09-01
- 2021-09-08
-
2021-09-15
Dose 2 — Moderna
- 2021-09-15
-
2021-09-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, NauseaAdult check-in
- 2021-09-17
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
- 2021-09-19
- 2021-09-21
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
-
2021-10-20
Survey response — day 35, dose 2MedDRA: Hypertension — Feeling: Fair · 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, Emergency room or emergency department visit, HospitalizationFree text: High blot pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Report sent to call center — day 35, 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-18 | Moderna | No |
| 2 | 2021-09-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-20 | Unsuccessful |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Sore throat
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Decreased fetal movement and sore throat
Systemic reaction (other): Sore throat
Systemic reaction (other): Drainage sore throat
Systemic reaction (other): Post nasal drip
Release 10 — day 35, dose 2
Symptoms: High blot pressure
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 | Hypertension | · | · | ✓ |
| SRO | Discharge | ✓ | · | ✓ |
| SRO | Foetal hypokinesia | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release