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Z3C-17027-36686

2 vaccinations 3 coded responses 16 check-ins 3 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
551 / MN
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Dysstasia, Pain — Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: The right side of my lower back is completely out. I cannot bend forward, especially towards the right or stand without pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-15
    Dose 2 — Moderna
  16. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-18
    Survey response — 3 months, dose 2
    MedDRA: Chills, Diarrhoea, Tremor — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Diahrea. Shakes, chills. No fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Pregnancy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-08-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  24. 2022-02-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-15Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-16 priority 2/3
2021-01-17 priority 2/3
2021-01-18 priority 2/3
2021-08-16 Successful
2021-08-19
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): The right side of my lower back is completely out. I cannot bend forward, especially towards the right or stand without pain.

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Diahrea. Shakes, chills. No fever.

Release 9 — 6 months, dose 2

2021-08-16

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDPregnancy ✓ · ✓
SDTremor ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODysstasia ✓ · ✓
SROPain ✓ · ✓

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