ZDF-31017-13101
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 020 / MA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Poor · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-08
- 2021-01-13
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
-
2021-01-26
Survey response — day 0, dose 2MedDRA: Back pain — Feeling: Good · Site: Pain, Itching · Muscle or body achesFree text: Lower back ache on side of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Sweating/sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: COVID-19, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Am pregnant, developed asymptomatic COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-31
-
2022-01-31
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-31 | priority 2/3 | |
| 2022-01-28 | Successful 2022-01-31 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): soreness at injection site
Release 2 — day 0, dose 2
Systemic reaction (other): Lower back ache on side of injection site
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth
Systemic reaction (other): Sweating/sweats
Release 11 — 12 months, dose 2
Symptoms: Am pregnant, developed asymptomatic COVID-19
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release