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UU3-32115-99490

1 vaccination 1 coded response 3 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
917 / CA
Registered
2021-01-08
Relationship
Self
Race
Black or African American
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-07-09
    Survey response — 6 months, dose 1
    MedDRA: Disorientation, Fatigue, Vision blurred — 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 visit
    Free text: More tired, experiencing disorientation. Blurred vision occasionally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-09
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  7. 2021-07-13

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-07-09 Unsuccessful

Free text

Release 9 — 6 months, dose 1

2021-07-09

Symptoms: More tired, experiencing disorientation. Blurred vision occasionally.

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
SDDisorientation ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓

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