XAF-12997-98564
3 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, SwellingFree text: Not today but had some of this in the 24 hours post shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
-
2021-04-21
Survey response — day 14, dose 1MedDRA: Erythema, Rash — Feeling: GoodFree text: The redness/rash moved on my arm to a larger circle shape. No other changesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-11
- 2021-06-16
- 2021-08-06
-
2021-11-03
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Now pregnant post second dose vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Dose 3 — Moderna
-
2022-06-16
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pregnant June 2021, delivered healthy baby Feb 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-06-16
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-06-17
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-16 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Not today but had some of this in the 24 hours post shot
Release 7 — day 14, dose 1
Symptoms: The redness/rash moved on my arm to a larger circle shape. No other changes
Release 10 — 6 months, dose 2
Symptoms: Now pregnant post second dose vaccination
Release 12 — 6 months, dose 3
Symptoms: Pregnant June 2021, delivered healthy baby Feb 2022
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 | Delivery | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release