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
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
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2021-03-29
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
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2021-09-06
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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
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2021-09-06
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-11
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2022-03-08
Survey response — 12 months, dose 1MedDRA: 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 consultationFree 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 pastMedDRA releases: 2024-11 · check-in free text available
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2022-03-08
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-03-10
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna |
Call center
| Reported | Outcome | VAERS-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
Symptoms: Diarrhea
Release 9 — 6 months, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Colitis microscopic | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release