TZA-28175-41388
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 835 / ID
- Registered
- 2021-09-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-17
Registered in v-safe
-
2021-09-17
Dose 1 — Moderna
- 2021-09-17
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-23
-
2021-10-01
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Sore throat, runny nose, fatigue, headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — day 21, dose 1MedDRA: Cough, Diarrhoea, Oropharyngeal pain, Rhinorrhoea — 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 · Telehealth, virtual health, or email health consultationFree text: Runny nose, sore throat, cough, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-13
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 14, dose 1
Symptoms: Sore throat, runny nose, fatigue, headache
Release 10 — day 21, dose 1
Symptoms: Runny nose, sore throat, cough, diarrhea
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release