ZQK-29216-33919
3 vaccinations
1 coded response
31 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 689 / NE
- Registered
- 2021-06-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-03
Registered in v-safe
-
2021-06-03
Dose 1 — Moderna
- 2021-06-03
- 2021-06-04
- 2021-06-05
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-17
- 2021-06-24
-
2021-07-01
Dose 2 — Moderna
- 2021-07-01
-
2021-07-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-07-03
- 2021-07-04
- 2021-07-05
- 2021-07-06
- 2021-07-07
- 2021-07-08
- 2021-07-15
- 2021-07-22
- 2021-07-29
- 2021-08-05
- 2021-08-12
- 2021-09-30
- 2021-12-30
-
2022-01-22
Dose 3 — Moderna
- 2022-02-24
- 2022-02-26
- 2022-03-05
- 2022-04-23
- 2022-07-23
-
2023-01-22
Survey response — 12 months, dose 3MedDRA: Influenza, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-03 | Moderna | |
| 2 | 2021-07-01 | Moderna | No |
| 3 | 2022-01-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-22 | Unsuccessful |
Free text
None.
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 | Influenza | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release