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4KT-21123-20319

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
834 / ID
Registered
2021-06-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-04
    Dose 1 — Moderna
  2. 2021-06-01
    Registered in v-safe
  3. 2021-06-01
    Dose 2 — Moderna
  4. 2021-06-01
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-12-03
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-03
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2021-12-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna
22021-06-01Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-12-03 Successful
2021-12-07
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8 — day 0, dose 2

2021-06-01

Systemic reaction (other): Lightheaded

Release 10 — 6 months, dose 2

2021-12-03

Symptoms: Pregnancy

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
SDPregnancy · · ✓
SRODizziness ✓ ✓ ✓

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