KEZ-33416-56921
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-14
- 2021-03-19
-
2021-03-28
Survey response — day 21, dose 1MedDRA: Ear discomfort — Feeling: GoodFree text: Discomfort in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Dose 2 — Moderna
-
2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Sleep disruption / sleeplessnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort, Ear pain — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Ear pressure/painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-09
- 2021-04-14
- 2021-04-30
- 2021-05-14
-
2021-06-30
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: First trimester pregnancy and miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-02
- 2021-09-29
-
2021-10-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-26
- 2022-01-23
- 2022-04-24
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2022-10-22
Survey response — 12 months, dose 3MedDRA: COVID-19, Depressed mood, Office visit, Pingueculitis — 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 professionalFree text: Symptoms: Covid infection Penguiculitis Low mood · Healthcare visit (other): OptometristMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-10-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-30 | Unsuccessful | |
| 2022-10-22 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Brain fog
Release 6 — day 21, dose 1
Symptoms: Discomfort in ears
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sleep disruption / sleeplessness
Systemic reaction (other): Ear pressure/pain
Release 9 — 3 months, dose 2
Symptoms: First trimester pregnancy and miscarriage
Release 12 — 12 months, dose 3
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 | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Pingueculitis | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release