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4MX-69954-00254

1 vaccination 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
851 / AZ
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2022-01-20
    Survey response — 12 months, dose 1
    MedDRA: Chills, Decreased appetite, Headache, Nausea, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Headache, nausea, lack of appetite, fever, aches,chills
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-20
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  7. 2022-01-21

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-01-20 Unsuccessful

Free text

Release 10 — 12 months, dose 1

2022-01-20

Symptoms: Headache, nausea, lack of appetite, fever, aches,chills

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
SDChills · · ✓
SDDecreased appetite · · ✓
SDHeadache · · ✓
SDNausea · · ✓
SDPain · · ✓
SDPyrexia · · ✓

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