ZBR-16741-45547
2 vaccinations
2 coded responses
20 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 622 / IL
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-23
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-31
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Gestational diabetes — Feeling: GoodFree text: Diagnosed with gestational diabetes (dont think its related to the vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-19
Survey response — day 28, dose 1MedDRA: Abdominal discomfort, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Upset stomach, vomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-04-20
Dose 2 — Moderna
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-23 | priority 2/3 | |
| 2021-04-19 | priority 2/3 |
Free text
Release 6 — day 14, dose 1
Symptoms: Diagnosed with gestational diabetes (dont think its related to the vaccine)
Release 7 — day 28, dose 1
Symptoms: Upset stomach, vomiting
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Gestational diabetes | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release