X4L-28814-75313
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 923 / CA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2020-12-26
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2021-01-07
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-04
- 2021-04-22
-
2021-07-21
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Dose 3 — Moderna
- 2022-01-20
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-23
Survey response — day 42, dose 3MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-14
- 2022-03-17
- 2022-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-26 | priority 2/3 | |
| 2022-03-11 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Systemic reaction (other): Dizzy
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 10 — 12 months, dose 2
Symptoms: Pregnancy
Release 11 — day 42, dose 3
Symptoms: Pregnancy
Release 11 — 3 months, dose 3
Symptoms: Pregnancy
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 |
|---|---|---|---|---|
| SD | Pregnancy | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release