ZGL-29690-72520
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 122 / NY
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
-
2021-01-11
Survey response — day 0, dose 1MedDRA: Anxiety, Heart rate increased — Feeling: Good · Site: PainFree text: Increased heart rate possibly due to anxiety about receiving the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-16
- 2021-01-17
- 2021-01-21
- 2021-01-25
- 2021-02-01
-
2021-02-05
Dose 2 — Moderna
- 2021-02-24
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
-
2021-11-03
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Premature labour — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Preterm labor at 20 weeks for one pregnancy & an additional miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-03 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2022-11-05 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Increased heart rate possibly due to anxiety about receiving the vaccine
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lower back pain
Release 12 — 12 months, dose 3
Symptoms: Preterm labor at 20 weeks for one pregnancy & an additional miscarriage
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 | Abortion spontaneous | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release