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NZL-15472-00539

2 vaccinations 2 coded responses 10 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
681 / NE
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-02-11
    Survey response — day 0, dose 2
    MedDRA: Tachycardia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tachycardia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-08-12
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous, Condition aggravated, Dry eye, Fatigue, Lymphadenopathy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ongoing issues with Sjogrens (dry eyes, fatigue, swollen glands). Had a miscarriage.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-12
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-17
  15. 2022-02-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-11Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-08-12 Unsuccessful

Free text

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Tachycardia

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Ongoing issues with Sjogrens (dry eyes, fatigue, swollen glands). Had a miscarriage.

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
SDAbortion spontaneous ✓ · ✓
SDCondition aggravated ✓ · ✓
SDDry eye ✓ · ✓
SDFatigue ✓ · ✓
SDLymphadenopathy ✓ · ✓
SDPre-existing disease ✓ · ✓
SROTachycardia ✓ ✓ ✓

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