Z3A-75803-64219
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Dose 1 — Moderna
-
2021-04-30
Registered in v-safe
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2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-06
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Dose 2 — Moderna
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2021-06-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-06-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-06-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-06-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-06-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-06-10
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-17
- 2021-06-24
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2021-07-01
Survey response — day 28, dose 2MedDRA: Cough, Diarrhoea, Respiratory tract congestion — Feeling: GoodFree text: I've had diarrhea, congestion and a coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
- 2021-09-02
- 2021-12-02
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2022-06-03
Survey response — 12 months, dose 2MedDRA: Office visit, Rash, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo, and large bumps behind my ear · Healthcare visit (other): Office visit and referral to ENTMedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Moderna | |
| 2 | 2021-06-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-03 | Unsuccessful |
Free text
Release 9 — day 28, dose 2
Symptoms: I've had diarrhea, congestion and a cough
Release 11 — 12 months, dose 2
Symptoms: Vertigo, and large bumps behind my ear
Healthcare visit (other): Office visit and referral to ENT
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 | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release