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ZGM-21046-19766

2 vaccinations 1 coded response 10 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
840 / UT
Registered
2021-08-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-14
    Registered in v-safe
  2. 2021-08-14
    Dose 1 — Moderna
  3. 2021-08-14
    Survey response — day 0, dose 1
    MedDRA: Medical counselling — Feeling: Good · None · Get care from a doctor or other healthcare professional
    Free text: Pharmacy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-14
    Report sent to call center — day 0, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-08-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  7. 2021-08-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  8. 2021-08-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-08-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-08-19
  11. 2021-08-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-09-11
    Dose 2 — Moderna
  13. 2021-09-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-09-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-14Moderna No
22021-09-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-08-14 Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-08-14

Healthcare visit (other): Pharmacy

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
HCVOMedical counselling ✓ · ✓

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

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