YR6-17959-38223
4 vaccinations
10 coded responses
47 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 809 / CO
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
P4N-32903-56611
Child or adolescent in my care · Female · 2021-11-16
ABQ-88485-03691
Child or adolescent in my care · Male · 2021-11-16
ZDH-18059-51370
Child or adolescent in my care · Female · 2022-10-05
Timeline
-
2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: Fair · Vomiting, DiarrheaFree text: Am currently pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Loss of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
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2021-02-16
Survey response — day 21, dose 2MedDRA: Shortened cervix — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Cervical shortening getting a cerclage on FridayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
- 2021-03-02
- 2021-03-10
- 2021-04-27
- 2021-05-13
-
2021-05-13
Call successfulDoes not wish to fill out VAERS report
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Viral illnessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
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2021-11-16
Dose 3 — Moderna
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2021-11-16
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-30
- 2021-12-07
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2021-12-14
Survey response — day 28, dose 3MedDRA: Diarrhoea, Lymphadenopathy, Nausea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea, diarrhea, swollen gland under left chin, low grade feverMedDRA releases: 2024-11 · check-in free text available
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2021-12-21
Survey response — day 35, dose 3MedDRA: Diarrhoea, Nausea — Feeling: GoodFree text: Nausea, diarrhea x 4 daysMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Survey response — day 42, dose 3MedDRA: Cough, Diarrhoea, Fatigue, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, fever, body aches , fatigue , diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
- 2022-05-17
-
2022-10-05
Dose 4 — Moderna
-
2022-10-05
Health check-in — day 0, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
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2022-10-06
Survey response — days 1–6 daily, dose 4MedDRA: Chest pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2022-10-20
Survey response — day 14, dose 4MedDRA: Chest pain, Diarrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had chest pain after the vaccine for 2 days also diarrhea 3 days agoMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — day 21, dose 4MedDRA: Abdominal pain, Diarrhoea haemorrhagic — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Very bad bloody diarrhea and abdominal PainMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-28
Call successfulDoes not wish to fill out VAERS report
- 2022-11-04
- 2022-11-09
- 2022-11-16
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-10-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-16 | Successful 2021-05-13 |
Does not wish to fill out VAERS report |
| 2021-07-27 | Successful 2022-10-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-27 | Successful 2022-10-28 |
Does not wish to fill out VAERS report |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Am currently pregnant
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of taste
Release 4 — day 21, dose 2
Symptoms: Cervical shortening getting a cerclage on Friday
Release 9 — 6 months, dose 2
Symptoms: Viral illness
Release 10 — day 28, dose 3
Symptoms: Nausea, diarrhea, swollen gland under left chin, low grade fever
Release 10 — day 35, dose 3
Symptoms: Nausea, diarrhea x 4 days
Release 10 — day 42, dose 3
Symptoms: Cough, fever, body aches , fatigue , diarrhea
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Chest pain
Release 12 — day 14, dose 4
Symptoms: Had chest pain after the vaccine for 2 days also diarrhea 3 days ago
Release 12 — day 21, dose 4
Symptoms: Very bad bloody diarrhea and abdominal Pain
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 | Abdominal pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Diarrhoea haemorrhagic | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Shortened cervix | ✓ | ✓ | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Exposure during pregnancy | ○ | ○ | ○ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release