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FZY-20685-59303

2 vaccinations 2 coded responses 5 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
931 / CA
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-30
    Dose 2 — Moderna
  3. 2021-02-01
    Registered in v-safe
  4. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Diarrhea may be due to celiac disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  7. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-08-02
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Im pregnant · Healthcare visit (other): Health visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-02
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-08-03

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Diarrhea may be due to celiac disease

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Im pregnant
Healthcare visit (other): Health visit

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
HCVOOffice visit ✓ · ✓
SDPregnancy ✓ · ✓
SRODiarrhoea ✓ ✓ ✓

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