WSW-12479-25952
4 vaccinations
6 coded responses
21 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 602 / IL
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 2 — Moderna
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to workFree text: Little lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: GoodFree text: Some bruising on foot noticed day 2; not sure if related but there wasnt any trauma to the area otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Contusion — Feeling: GoodFree text: Bruising on top of left footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — day 14, dose 2MedDRA: Nausea — Feeling: GoodFree text: Some nausea, noticed with yoga and drivingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-12
- 2021-03-19
- 2021-03-24
- 2021-05-12
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Endometrial hyperplasia with cellular atypia, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Diagnosed with Atypical endometrial hyperplasia · Healthcare visit (other): Was discovered in a d & c aug 3rdMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2021-08-31
- 2021-09-09
-
2021-09-09
Call successfulNot applicable - Accidental Reporting
-
2021-11-23
Dose 3 — Moderna
-
2021-12-01
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-31
- 2022-01-04
-
2022-06-01
Dose 4 — Moderna
-
2022-07-11
Survey response — day 35, dose 4MedDRA: Diarrhoea, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever congestion headache sore great body aches diarrheaMedDRA releases: 2024-11 · check-in free text available
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2022-07-11
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Successful 2021-09-09 |
Not applicable - Accidental Reporting |
| 2022-07-11 | Successful 2022-07-12 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Little lightheaded
Systemic reaction (other): Some bruising on foot noticed day 2; not sure if related but there wasnt any trauma to the area otherwise
Release 4 — day 7, dose 2
Systemic reaction (other): Bruising on top of left foot
Release 4 — day 14, dose 2
Symptoms: Some nausea, noticed with yoga and driving
Release 9 — 6 months, dose 2
Symptoms: Diagnosed with Atypical endometrial hyperplasia
Healthcare visit (other): Was discovered in a d & c aug 3rd
Release 12 — day 35, dose 4
Symptoms: Fever congestion headache sore great body aches diarrhea
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 | Uterine dilation and curettage | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Endometrial hyperplasia with cellular atypia | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release