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48M-15943-83021

3 vaccinations 5 coded responses 39 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
860 / AZ
Registered
2021-01-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea, Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: First day I got the shot, I had nausea and diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-29
    Dose 2 — Moderna
  12. 2021-01-29
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: My left lymph node under my arm feels swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-29
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-02-05
    Dose 3 — Moderna
  29. 2022-02-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  30. 2022-02-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  31. 2022-02-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2022-02-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  33. 2022-02-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-02-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-02-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-02-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-02-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-03-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-08-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2023-02-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-29Moderna
32022-02-05Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-03 priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): First day I got the shot, I had nausea and diarrhea.

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): No

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): My left lymph node under my arm feels swollen

Release 11 — days 1–6 daily, dose 3

2022-02-09

Systemic reaction (other): Pregnant

2022-02-10

Systemic reaction (other): Pregnant

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
SRODiarrhoea ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPregnancy · · ✓

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

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