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ZJW-32046-79138

1 vaccination 3 coded responses 13 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
598 / MT
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-29
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-07
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-09-06
    Survey response — 6 months, dose 1
    MedDRA: Colitis microscopic, Diarrhoea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Since my last 2nd dose vaccine in April I have been Dx with lymphocytic colitis. I started having uncontrollable diarrhea shortly after 2 nd shot and colonoscopy late July. This will be my 3rd autoimmune disease. Hashimotos and rheumatoid arthritis.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-09-06
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-09-11
  17. 2022-03-08
    Survey response — 12 months, dose 1
    MedDRA: Colitis microscopic, Diarrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: 2weeks after Moderna #1 diarrhea and it seemed to resolve. After Moderna #2 massive diarrhea daily. Dx lymphocytic colitis and Tx with steroids. Didn't get Moderna booster waited until Jan. Got J&J booster no symptoms. I have notified you in past
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-08
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2022-03-10
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-09-06 Successful Participant prefers to complete VAERS report online
2022-03-08 Successful
2022-03-10
Participant prefers to complete VAERS report online

Free text

Release 6 — day 21, dose 1

2021-03-29

Symptoms: Diarrhea

Release 9 — 6 months, dose 1

2021-09-06

Symptoms: Since my last 2nd dose vaccine in April I have been Dx with lymphocytic colitis. I started having uncontrollable diarrhea shortly after 2 nd shot and colonoscopy late July. This will be my 3rd autoimmune disease. Hashimotos and rheumatoid arthritis. cut off by CDC

Release 11 — 12 months, dose 1

2022-03-08

Symptoms: 2weeks after Moderna #1 diarrhea and it seemed to resolve. After Moderna #2 massive diarrhea daily. Dx lymphocytic colitis and Tx with steroids. Didn't get Moderna booster waited until Jan. Got J&J booster no symptoms. I have notified you in past

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
SDColitis microscopic ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDPre-existing disease ✓ · ✓

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