WY9-31485-59652
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-27
- 2021-02-03
-
2021-02-10
Survey response — day 28, dose 1MedDRA: Abdominal discomfort, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: fatigue, slight GI upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: low appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, 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: dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-19
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-03-21
- 2021-03-28
- 2021-05-14
- 2021-08-10
-
2021-08-15
Survey response — 6 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: head cold: cough, sinus congestion, sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Successful IVF cycle. Pregnant x12wks · Healthcare visit (other): All pregnancy related.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Unsuccessful | |
| 2022-02-12 | Unsuccessful |
Free text
Release 4 — day 28, dose 1
Symptoms: fatigue, slight GI upset
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): low appetite
Systemic reaction (other): dizziness
Release 9 — 6 months, dose 2
Symptoms: head cold: cough, sinus congestion, sore throat
Release 11 — 12 months, dose 2
Symptoms: Successful IVF cycle. Pregnant x12wks
Healthcare visit (other): All pregnancy related.
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 | Pregnancy | · | · | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sinus congestion | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release