WWP-40562-49881
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 300 / GA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
- 2021-01-19
- 2021-01-26
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-30
- 2021-07-28
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Survey response — day 0, dose 3MedDRA: Medical counselling — Feeling: Fair · None · Get care from a doctor or other healthcare professionalFree text: PharmacyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — day 0, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Cough, Myalgia, Nasopharyngitis — Feeling: FairFree text: Pain in right chest, pretty sure it's muscular from cough from non covid cold I had over past few weeks and a workout this weekMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — day 21, dose 3MedDRA: Abdominal discomfort — Feeling: FairFree text: Right upper abdomen discomfort likely unrelated to vaxMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous, Chest discomfort, Foetal growth restriction, Pregnancy test positive, SARS-CoV-2 test positive, Throat irritation — 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: I had a positive pregnancy test 12/19 and a positive covid test 12/25 with one day of scratchy throat and few days of sternal discomfort. I found out 1/18 that my baby stopped growing around 1/5 and have been going through miscarriage since.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 3 months, dose 3Be 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)
-
2022-01-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-28
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-28 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-27 | Successful 2022-01-31 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 0, dose 3
Healthcare visit (other): Pharmacy
Release 10 — day 14, dose 3
Symptoms: Pain in right chest, pretty sure it's muscular from cough from non covid cold I had over past few weeks and a workout this week
Release 10 — day 21, dose 3
Symptoms: Right upper abdomen discomfort likely unrelated to vax
Release 11 — 3 months, dose 3
Symptoms: I had a positive pregnancy test 12/19 and a positive covid test 12/25 with one day of scratchy throat and few days of sternal discomfort. I found out 1/18 that my baby stopped growing around 1/5 and have been going through miscarriage since.
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 | Medical counselling | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Foetal growth restriction | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release