Z6Q-32970-40862
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 323 / FL
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-21
Survey response — day 28, dose 1MedDRA: Multiple sclerosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Multiple sclerosisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-28
- 2021-02-06
- 2021-02-11
-
2021-03-04
Survey response — day 42, dose 2MedDRA: Dizziness, Multiple sclerosis, Pre-existing disease — Feeling: GoodFree text: MS symptoms increased, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-04-22
Survey response — 3 months, dose 2MedDRA: Biliary dyskinesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Biliary dyskinesiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
-
2022-01-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-21
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: I'm pregnantMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-21 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-22 | Successful 2022-01-20 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — day 28, dose 1
Symptoms: Diagnosed with Multiple sclerosis
Release 5 — day 42, dose 2
Symptoms: MS symptoms increased, dizziness
Release 7 — 3 months, dose 2
Symptoms: Biliary dyskinesia
Release 11 — 12 months, dose 2
Symptoms: I'm pregnant
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 | Biliary dyskinesia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Multiple sclerosis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release