Z54-90960-92077

1 vaccination 0 coded responses 1 check-in 0 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 604 / IL
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-21
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	priority 2/3

Free text

None.

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

No MedDRA codes.