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4KN-23730-79768

2 vaccinations 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
605 / IL
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-26
    Dose 2 — Moderna
  3. 2021-01-29
    Registered in v-safe
  4. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Nausea, Pain in extremity — Feeling: Good · Site: Pain · Be unable to work
    Free text: Day after second dose had sore arm, 100 degrees temperature, severe nausea, chills, and fatigue for 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-29
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-29 priority 2/3

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Day after second dose had sore arm, 100 degrees temperature, severe nausea, chills, and fatigue for 24 hours

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
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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