ZKM-81436-34103
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-08
- 2021-01-10
- 2021-01-19
- 2021-01-26
-
2021-01-31
Dose 2 — Moderna
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-14
-
2021-08-01
Survey response — 6 months, dose 2MedDRA: Unevaluable event, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eyesight has worsened · Healthcare visit (other): Scheduling an eye exam soonMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2022-01-31
Survey response — 12 months, dose 2MedDRA: Pre-eclampsia, Premature delivery, Premature separation of placenta — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Delivered my son 11 weeks early · Healthcare visit (other): Developed severe preeclampsia and placental abruptionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-31
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-02-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-01-31 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-01 | Unsuccessful | |
| 2022-01-31 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Delivered my son 11 weeks early
Healthcare visit (other): Developed severe preeclampsia and placental abruption
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 |
|---|---|---|---|---|
| HCVO | Pre-eclampsia | · | · | ✓ |
| HCVO | Premature separation of placenta | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release