KZJ-10265-35946
3 vaccinations
4 coded responses
23 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-08
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
-
2021-02-08
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-18
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-05
- 2021-08-02
-
2022-01-19
Dose 3 — Moderna
-
2022-02-01
Health check-in — day 7, dose 3Feeling: Poor · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2022-02-01
Survey response — 12 months, dose 2MedDRA: Headache, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hives over entire body, headachesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-01
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-02
Survey response — day 14, dose 3MedDRA: Urticaria — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Full body hives for 4 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-09
- 2022-03-04
- 2022-04-21
- 2022-07-23
-
2023-01-19
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationMedDRA releases: 2024-11
-
2023-01-19
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2023-01-20
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2022-01-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-01 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-01 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-02 | Successful 2022-02-04 |
Participant prefers to complete VAERS report online |
| 2023-01-19 | Successful 2023-01-20 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes
Release 11 — 12 months, dose 2
Symptoms: Hives over entire body, headaches
Release 11 — day 14, dose 3
Symptoms: Full body hives for 4 days
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 | Headache | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release