YE5-17527-41419
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 970 / OR
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-31
Dose 2 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, ItchingFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-14
- 2021-08-03
-
2022-01-31
Survey response — 12 months, dose 2MedDRA: Atrial fibrillation, Office visit, Palpitations, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart palpitations, A fib · Healthcare visit (other): Maternity hospital triage visit when I was pregnant full-termMedDRA releases: 2024-11 · check-in free text available
-
2022-01-31
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-31 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-31 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Release 11 — 12 months, dose 2
Symptoms: Heart palpitations, A fib
Healthcare visit (other): Maternity hospital triage visit when I was pregnant full-term
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 | · | · | ✓ |
| HCVO | Pregnancy | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release