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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

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain, Flatulence — Feeling: Good · Abdominal pain
    Free 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
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Dose 2 — Moderna
  14. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  17. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Insomnia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Could not go to sleep, had mild anxiety.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  19. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-31
    Survey response — day 35, dose 2
    MedDRA: Flatulence — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  24. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free 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
  25. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Eye infection, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Summer Allergies. Taking an antibiotic for an infected eye.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-25
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-01
  29. 2022-02-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-08-25 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

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

2021-03-01

Systemic reaction (other): Could not go to sleep, had mild anxiety.

Release 6 — day 35, dose 2

2021-03-31

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

2021-04-07

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

2021-08-25

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea ✓ ✓ ✓
SDEye infection ✓ · ✓
SDFlatulence ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROAbdominal pain ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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