Z5S-16324-25628
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 486 / MI
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Swelling · DiarrheaFree text: Diarrhea may be keto related lolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-10
- 2021-01-12
- 2021-01-19
- 2021-01-26
- 2021-02-04
- 2021-04-06
-
2021-07-08
Survey response — 6 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-01-05
Survey response — 12 months, dose 1MedDRA: Gastroenteritis viral, Pregnancy — Feeling: Good · 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 visitFree text: Pregnant, stimach fluMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-05 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea may be keto related lol
Release 9 — 6 months, dose 1
Symptoms: Pregnant
Release 10 — 12 months, dose 1
Symptoms: Pregnant, stimach flu
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release