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353-28038-42008

2 vaccinations 1 coded response 9 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
330 / FL
Registered
2021-09-13
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-08-03
    Dose 1 — Moderna
  2. 2021-09-04
    Dose 2 — Moderna
  3. 2021-09-13
    Registered in v-safe
  4. 2021-09-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-09-18
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Chills, Diarrhoea, Nausea, Pain, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Nausea, chills, vomiting, diarrhea, body & joint soreness
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-18
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-09-20
  8. 2021-09-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-10-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-10-16
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-12-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-03-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-09-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-03Moderna No
22021-09-04Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-18 Unsuccessful

Free text

Release 9 — day 14, dose 2

2021-09-18

Symptoms: Nausea, chills, vomiting, diarrhea, body & joint soreness

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDChills · · ✓
SDDiarrhoea · · ✓
SDNausea · · ✓
SDPain · · ✓
SDVomiting · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release