Z6J-73630-03266
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Flatulence — Feeling: Good · Abdominal painFree text: My stomach produced a good amount of gas. I was in the shower and almost needed to start over. The gas was good and stinky. Tummy ache gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-24
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Insomnia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Could not go to sleep, had mild anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 35, dose 2MedDRA: Flatulence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad powerful gas, below the waist.A couple of times, it was like I could have shot a rocket off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: A little diarrhea, nothing terrible. Drank 4 C of tea and then later, V8 juice for lunch. BTW, I'm 71 years old and NOT pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Eye infection, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Summer Allergies. Taking an antibiotic for an infected eye.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My stomach produced a good amount of gas. I was in the shower and almost needed to start over. The gas was good and stinky. Tummy ache gone now.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Could not go to sleep, had mild anxiety.
Release 6 — day 35, dose 2
Symptoms: Bad powerful gas, below the waist.A couple of times, it was like I could have shot a rocket off.
Release 7 — day 42, dose 2
Symptoms: A little diarrhea, nothing terrible. Drank 4 C of tea and then later, V8 juice for lunch. BTW, I'm 71 years old and NOT pregnant.
Release 9 — 6 months, dose 2
Symptoms: Summer Allergies. Taking an antibiotic for an infected eye.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Eye infection | ✓ | · | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release