X48-29347-70845
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · ChillsAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymphadenopathy axilla on side of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-05
Dose 2 — Moderna
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-14
- 2021-02-19
- 2021-03-24
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Delivery, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Birthed child · Healthcare visit (other): For deliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-02-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-05 | Successful 2022-02-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lymphadenopathy axilla on side of injection
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — 12 months, dose 2
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 | Unevaluable event | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release