XAN-16530-48799
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 062 / CT
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Nausea, Pain, Restless legs syndrome, Restlessness — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: The day after the shot I did have chills, body aches, fatigue, nausea, restlessness similar to restless legs in my lower back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Some brief intense heart palpitations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Good · Site: PainFree text: Feels like my chest is a bit tight but nothing weird besides that. Feel much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: GoodFree text: Last night heart palpitation for 10 secondsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Bladder pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore bladder but no infection · Healthcare visit (other): Doctor visit to test urineMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
- 2021-09-08
-
2022-02-25
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend schoolFree text: Experiencing a miscarriage / symptoms to pregnancy.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-26 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The day after the shot I did have chills, body aches, fatigue, nausea, restlessness similar to restless legs in my lower back.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Some brief intense heart palpitations.
Systemic reaction (other): Feels like my chest is a bit tight but nothing weird besides that. Feel much better today.
Systemic reaction (other): Last night heart palpitation for 10 seconds
Release 9 — 6 months, dose 2
Symptoms: Sore bladder but no infection
Healthcare visit (other): Doctor visit to test urine
Release 11 — 12 months, dose 2
Symptoms: Experiencing a miscarriage / symptoms to 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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Bladder pain | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ○ |
| SRO | Restlessness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release