WR3-15166-76505
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 850 / AZ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree text: I have been bruising easily suddenly and am not sure if it's relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
-
2021-04-13
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
-
2021-05-25
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach pain and upset.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-04-13
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Office visit, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have had two miscarriages and recurring sinus infections. · Healthcare visit (other): Regular physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-04-13
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-20
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-13 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I have been bruising easily suddenly and am not sure if it's related
Release 8 — day 42, dose 2
Symptoms: Stomach pain and upset.
Release 11 — 12 months, dose 2
Symptoms: I have had two miscarriages and recurring sinus infections.
Healthcare visit (other): Regular physician
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release