JQZ-30503-95736
2 vaccinations
2 coded responses
12 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 720 / AR
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 2 — Moderna
-
2021-03-16
Health check-in — day 0, dose 2Feeling: Poor · Fever · Fatigue or tiredness, Nausea, VomitingAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-17
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: IV FluidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-20
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-25
- 2021-03-30
- 2021-06-15
-
2021-09-14
Survey response — 6 months, dose 2MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Recently gave birth on 9/8/2021MedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-03-16 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 2
Healthcare visit (other): IV Fluids
Release 9 — 6 months, dose 2
Symptoms: Recently gave birth on 9/8/2021
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release