M5Z-21808-41763
3 vaccinations
4 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 274 / NC
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 2 — Moderna
-
2021-02-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessFree text: Pain/swollen arm pit area (Lymph node) on the side where I got the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · HeadacheFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
- 2021-03-08
- 2021-03-20
- 2021-08-07
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2022-02-03
Dose 3 — Moderna
- 2022-02-06
-
2022-02-06
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-02-07
- 2022-02-12
- 2022-02-17
- 2022-02-24
- 2022-03-03
- 2022-03-10
- 2022-03-20
- 2022-05-07
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2023-02-03
Survey response — 12 months, dose 3MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-03
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-06
-
2023-02-06
Callback requested for12:00PM ET
-
2023-02-06
Call successfulCompleted over the phone
- 2023-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2022-02-03 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain/swollen arm pit area (Lymph node) on the side where I got the injection
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Night sweats
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 |
|---|---|---|---|---|
| SD | Herpes zoster | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release